Parks, Clayton

Parks, Clayton is an individual health care provider with primary practice located at 2727 1St Ave Se , Cedar Rapids IA 52402-4844. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Parks, Clayton can be contacted via phone (319) 363-3575.

Contact Information

Primary practice address
2727 1St Ave Se Cedar Rapids IA 52402-4844
Phone: (319) 363-3575
Fax: (319) 363-8886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 07934 Iowa

Profile Details

NPI number 1417922055
LBN Legal business name Parks, Clayton
Credentials D.D.D., M.S
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 9th, 2007 - 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 1417922055 NPPES
Iowa Other 38293 BC/BS OF IA PROV#
Iowa Other 08823 BC/BS OF IA PROV#
Iowa Other 170453 BC/BS OF IA PROV#
Iowa MEDICAID 0210120 BC/BS OF IA PROV#

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