Parks Burton Alexander, DMD
Dentist, General Practice in Greenville, SC. Individual provider (NPI-1).
NPI number1851374128
StatusActive
Last updated in NPPESJun 4, 2021
Details
- NPI
- 1851374128
- Entity type
- Individual (NPI-1)
- Name
- Mr. Parks Burton Alexander
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Certification date
- Jun 4, 2021
- Last updated
- Jun 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4025 | SC | Yes |
Practice location
114 Laurens Rd Ste AGreenville, SC 29607-1826
Phone 864-336-8478 · Fax 864-509-1514
Mailing address
Po Box 799Simpsonville, SC 29681-0799
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