MEDICARE: WILL J PARKS DDS MD PA

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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	17107	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497054712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILL J PARKS DDS MD PA

Provider Business Mailing Address
First Line	:	815 S FLEISHEL AVE
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-2017
Country	:	US
Telephone Number	:	903-526-7977
Fax Number	:	903-526-7989

Provider Business Practice Location Address
First Line	:	815 S FLEISHEL AVE
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-2017
Country	:	US
Telephone Number	:	903-526-7977
Fax Number	:	903-526-7989

Authorized Official
Title or Position	:	OWNER
Name	:	WILL PARKS JR.
Credential	:
Telephone Number	:	903-526-7977

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	03/25/2011

Similar Medicare Providers

1598736829 — DR. JAMES LOUIS WASSON MD, FACOG
Practice Location Address:

837 S FLEISHEL AVE
TYLER, TX
75701-2017

Practice Phone: 903-939-2273
Practice Fax: 903-581-2137

1326018656 — WOMENS TOTAL CARE OF EAST TEXAS
Practice Location Address:

837 S FLEISHEL AVE
TYLER, TX
75701-2017

Practice Phone: 903-939-2273
Practice Fax: 903-581-2137

1306918172 — WILLIE JOE PARKS JR. D.D.S., M.D.
Practice Location Address:

815 S FLEISHEL AVE
TYLER, TX
75701-2017

Practice Phone: 903-526-7977
Practice Fax: 903-526-7989

1861783946 — RYLEIGH REBECCA YOUNG SMITH CPNP
Practice Location Address:

837 S FLEISHEL AVE
TYLER, TX
75701-2017

Practice Phone: 903-526-0450
Practice Fax: 903-526-0435

1316001753 — DR. SHERILYN A. WILLIS M.D.
Practice Location Address:

2017 RICKETY LN
TYLER, TX
75703-1706

Practice Phone: 903-533-8811
Practice Fax: 903-593-5511

1164586509 — DR. SUNNI S. BOREN M.D.
Practice Location Address:

2017 RICKETY LN
TYLER, TX
75703-1706

Practice Phone: 903-533-8811
Practice Fax: 903-593-5511

Directions to “WILL J PARKS DDS MD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.