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General NPI Number Information
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NPI Number | 1457484222
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Entity Type | Organization
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Legal Business Name | MICHAEL K PARSONS DDS PC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 1630 MARKET CENTER BLVD SUITE 102
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City | O FALLON
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State | MO
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Zip | 63368
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Country | US
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Telephone | 636-379-1333
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Fax | 636-379-1334
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Provider Business Mailing Address
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Address Line | 17300 OUTER FORTY ROAD NORTH SUITE 103
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City | CHESTERFIELD
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State | MO
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Zip | 63005
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Country | US
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Telephone | 636-536-5158
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Fax | 636-536-4544
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. MICHAEL KEITH PARSONS
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Credential | DDS
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Telephone | 636-536-5158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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