Healthcare Provider Details

I. General information

NPI: 1023078672
Provider Name (Legal Business Name): JOSEPH WILLIAM PARKINSON D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 02/27/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 RIDGECREST DR SE
ALBUQUERQUE NM
87108-5129
US

IV. Provider business mailing address

2425 RIDGECREST DR SE
ALBUQUERQUE NM
87108-5129
US

V. Phone/Fax

Practice location:
  • Phone: 914-594-2683
  • Fax:
Mailing address:
  • Phone: 914-594-2683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDB-2025-0006
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: