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NPI Code Detail

MEDICARE: DR. GEORGE LEVY PARKER DDS

MEDICARE: DR. GEORGE LEVY PARKER DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry102895CA

General Provider Information

NPI Number : 1407334535
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE LEVY PARKER DDS
Provider Business Mailing Address
First Line : 1415 W HOBSONWAY
Second Line :
City : BLYTHE
State : CA
Zip : 92225-1479
Country : US
Telephone Number : 909-900-3303
Fax Number :
Provider Business Practice Location Address
First Line : 1415 W HOBSONWAY
Second Line :
City : BLYTHE
State : CA
Zip : 92225-1479
Country : US
Telephone Number : 909-900-3303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2018
Last Update Date : 03/07/2026

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