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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY WAYNE PARKER, D.M.D.

Active Sole Proprietor

DR. JEREMY WAYNE PARKER, D.M.D. is a General Dentistry healthcare provider located in DIBERVILLE, Mississippi. NPI 1265744510 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DIBERVILLE, MS

Registration Details

NPI Number
1265744510
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2010 (15.977668887376 yrs)
Last Updated
Jun 4, 2021
License
3553-10 (MS)
Sole Proprietor
Yes

Practice Information

Address
4299 POPPS FERRY RD
DIBERVILLE, MS, 395402363
Browse MS providers · Browse ZIP 39540
Phone
2283920509
Fax
2283928709
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in DIBERVILLE, MS

Name Credential NPI
DR. DOAN KHANH TRAN D.M.D 1255409967
DR. GERMAINE NICKOLE GOTTSCHE DMD 1073729950
MILTON EDUARDO TORRES CABAN DMD 1194330597
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.