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General NPI Number Information
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NPI Number | 1336035534
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Entity Type | Organization
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Legal Business Name | ADAM PARKER DDS, PLLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 102 WESTLAKE DR STE 104
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-5373
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Country | US
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Telephone | 737-313-5953
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Fax | 737-313-5955
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Provider Business Mailing Address
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Address Line | 1803 POLO RD
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City | AUSTIN
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State | TX
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Zip | 78703-3134
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Country | US
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Telephone | 865-789-3854
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. ADAM PARKER
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Credential | DDS
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Telephone | 865-789-3854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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