Provider Demographics
NPI:1033326350
Name:PARSONS, MICHAEL HAL (DDS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HAL
Last Name:PARSONS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:HAL
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 634
Mailing Address - Street 2:231 EAST 200 SOUTH
Mailing Address - City:GUNNISON
Mailing Address - State:UT
Mailing Address - Zip Code:84634-0634
Mailing Address - Country:US
Mailing Address - Phone:435-528-3637
Mailing Address - Fax:
Practice Address - Street 1:231 EAST 200 SOUTH
Practice Address - Street 2:
Practice Address - City:GUNNISON
Practice Address - State:UT
Practice Address - Zip Code:84634-0634
Practice Address - Country:US
Practice Address - Phone:435-528-3637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT359840-99231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice