Provider Demographics
NPI:1093879553
Name:PARKER-LOCKETT, MICHELE LORAINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:LORAINE
Last Name:PARKER-LOCKETT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PATTERSON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3334
Mailing Address - Country:US
Mailing Address - Phone:202-478-4718
Mailing Address - Fax:202-478-0610
Practice Address - Street 1:40 PATTERSON ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3334
Practice Address - Country:US
Practice Address - Phone:202-478-4718
Practice Address - Fax:202-478-0610
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN43641223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health