=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043433659
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | F B PARKER DDS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2007
-----------------------------------------------------
Last Update Date | 07/20/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3556 TORRANCE BLVD SUITE C
-----------------------------------------------------
City | TORRANCE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90503-4891
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-543-1655
-----------------------------------------------------
Fax | 310-316-8855
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3556 TORRANCE BLVD SUITE C
-----------------------------------------------------
City | TORRANCE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90503-4891
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-543-1655
-----------------------------------------------------
Fax | 310-316-8855
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR OF DENTAL SURGERY
-----------------------------------------------------
Name | DR. FRANCIS B PARKER
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 310-543-1655
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 22533
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------