Provider Demographics
NPI:1043372923
Name:PARMLEY, TIM H (DDS)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:H
Last Name:PARMLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 ROMA CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3033
Mailing Address - Country:US
Mailing Address - Phone:214-727-9750
Mailing Address - Fax:972-335-1019
Practice Address - Street 1:6311 HILLCREST RD # 200
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-8109
Practice Address - Country:US
Practice Address - Phone:972-335-4145
Practice Address - Fax:972-335-1019
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150883002Medicaid
TX1323561OtherUNITED CONCORDIA