Individual
DR. GARY H PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307B FOUST STREET, ASHEBORO, NC 27203
(336) 625-1964
(336) 625-1452
Mailing address
307B FOUST STREET, ASHEBORO, NC 27203
(336) 625-1964
(336) 625-1452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC4675
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996634
—
NC
01
—
96634
BCBS
NC
Enumeration date
07/31/2006
Last updated
07/08/2007
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