MEDICARE: PEAK DENTAL PARMER

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1548125651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK DENTAL PARMER

Provider Business Mailing Address
First Line	:	1610 E PARMER LN STE E
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-7143
Country	:	US
Telephone Number	:	737-281-2823
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 E PARMER LN STE E
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-7143
Country	:	US
Telephone Number	:	737-281-2823
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADAM SMITH
Credential	:	DDS
Telephone Number	:	530-415-5483

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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Directions to “PEAK DENTAL PARMER ” Practice Location

Language	Start Address	Practice Location

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