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

TY PARKER, DMD

Active

TY PARKER, DMD is a General Dentistry healthcare provider located in FAIRVIEW HEIGHTS, Illinois. NPI 1417156951 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FAIRVIEW HEIGHTS, IL

Registration Details

NPI Number
1417156951
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2007 (19.099801021901 yrs)
Last Updated
Dec 20, 2023
License
019027434 (IL)

Practice Information

Address
314 FOUNTAINS PKWY STE C
FAIRVIEW HEIGHTS, IL, 622082165
Browse IL providers · Browse ZIP 62208
Phone
6186221800
Fax
6184661433
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FAIRVIEW HEIGHTS, IL

Name Credential NPI
DR. MICHAEL J HOWENSTEIN DMD 1407961261
DR. JOHN L. ROTTSCHALK DMD 1164560710
DR. ROBERT J MCDILL D.M.D 1528286630
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.