Individual
DR. JOSEPH L PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3617 W STATE ROAD 46, BLOOMINGTON, IN 47404-9152
(812) 876-0007
Mailing address
783 SPYGLASS LN, LEXINGTON, KY 40509-2102
(317) 443-4611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013218A
IN
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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