Individual
DR. JASON D PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2201 VETERANS BLVD, SUITE 306, METAIRIE, LA 70002
(504) 831-2120
(504) 831-2310
Mailing address
2201 VETERANS BLVD, SUITE 306, METAIRIE, LA 70002
(504) 831-2120
(504) 831-2310
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1650441
UNITED CONCORDIA
—
05
—
1851329
—
LA
Enumeration date
05/15/2007
Last updated
07/08/2007
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