Individual
TIMOTHY JAMES PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
8351 BAYBERRY RD, JACKSONVILLE, FL 32256-4427
(904) 737-3263
(904) 448-5301
Mailing address
8351 BAYBERRY RD, JACKSONVILLE, FL 32256-4427
(904) 737-3263
(904) 448-5301
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN0010957
FL
Other
Enumeration date
06/26/2006
Last updated
04/07/2009
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