Parker, Jodi

Parker, Jodi is an individual health care provider with primary practice located at 11092 Anderson Street Llu School Of Dentistry, Loma Linda CA 92350-0001. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Parker, Jodi can be contacted via phone (909) 558-4613.

Contact Information

Primary practice address
11092 Anderson Street Llu School Of Dentistry Loma Linda CA 92350-0001
Fax: (909) 558-4192
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 052467 New York

Profile Details

NPI number 1285884742
LBN Legal business name Parker, Jodi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Sep 22nd, 2008 - about 17 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 1285884742 NPPES
New York Other 052467 STATE LICENSE

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