Dr. Mark Henry Parker, DDS PLLC
Dentist, General Practice in Purvis, MS. Individual provider (NPI-1).
NPI number1447347349
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1447347349
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Henry Parker
- Credential
- DDS PLLC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 283594 | MS | Yes |
Practice location
5790 Us Hwy 11Purvis, MS 39475
Phone 601-794-6013 · Fax 601-794-6313
Mailing address
Po Box 19495790 Us Hwy 11
Purvis, MS 39475
Phone 601-794-6013 · Fax 601-794-6313
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