Organization
GATES W. PARKER, DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GATES WASHBURN PARKER D.M.D. (OWNER)
(570) 828-2351
Entity
Organization
Contact information
Practice address
934 MILFORD RD, DINGMANS FERRY, PA 18328-9629
(570) 828-2351
(570) 828-6319
Mailing address
RR 2 BOX 225, DINGMANS FERRY, PA 18328-9629
(570) 828-2351
(570) 828-6319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-024516-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326057530
INDIVIDUAL NPI
—
Enumeration date
01/25/2007
Last updated
08/22/2020
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