Individual
STEPHEN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 PROFESSIONAL CT, MAULDIN, SC 29662-3257
(864) 288-4515
(501) 676-5147
Mailing address
100 PROFESSIONAL CT, MAULDIN, SC 29662-3257
(864) 288-4515
(864) 288-4992
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8491
SC
Other
Enumeration date
06/17/2011
Last updated
07/17/2023
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