Healthcare Provider Details

I. General information

NPI: 1316995103
Provider Name (Legal Business Name): JAMES E. PARKER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 BRAUER HALL CLB # 7450
CHAPEL HILL NC
27599-7450
US

IV. Provider business mailing address

106 BRAUER HALL CLB # 7450
CHAPEL HILL NC
27599-7450
US

V. Phone/Fax

Practice location:
  • Phone: 919-537-3940
  • Fax:
Mailing address:
  • Phone: 919-537-3940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number0015075
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: