Healthcare Provider Details

I. General information

NPI: 1851281984
Provider Name (Legal Business Name): KEVIN PARSONS DMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30485 SW BOONES FERRY RD STE 203
WILSONVILLE OR
97070-7845
US

IV. Provider business mailing address

30485 SW BOONES FERRY RD STE 203
WILSONVILLE OR
97070-7845
US

V. Phone/Fax

Practice location:
  • Phone: 503-682-3743
  • Fax:
Mailing address:
  • Phone: 503-816-3441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KEVIN MICHAEL PARSONS
Title or Position: OWNER
Credential: DMD
Phone: 503-816-3441