Parker, Edward M.

Parker, Edward M. is an sole proprietor health care provider with primary practice located at 720 S 8Th St , Griffin GA 30224-4827. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Parker, Edward M. can be contacted via phone (770) 229-9316.

Contact Information

Primary practice address
720 S 8Th St Griffin GA 30224-4827
Fax: (770) 229-9317
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN010161 Georgia

Profile Details

NPI number 1093735391
LBN Legal business name Parker, Edward M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Dec 12th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093735391 NPPES
Georgia Other 9181268 DORAL PROVIDER NUMBER
Georgia MEDICAID 00359785A DORAL PROVIDER NUMBER
Georgia Other 100811 DORAL PROVIDER NUMBER

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