Parker, Jeremiah J

Parker, Jeremiah J is an sole proprietor health care provider with primary practice located at 10Th Medical Group 4102 Pinion Drive, Usaf Academy CO 80132. He recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Dentist. Dental Providers / Endodontics is his primary health care specialty. Parker, Jeremiah J can be contacted via phone (571) 275-8412.

Contact Information

Primary practice address
10Th Medical Group 4102 Pinion Drive Usaf Academy CO 80132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 7025150-9921 Utah
Dental Providers / Dentist 122300000X 7025150-9921 Utah

Profile Details

NPI number 1972761765
LBN Legal business name Parker, Jeremiah J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2008
Last updated Nov 1st, 2023 - about last year

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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