Provider Demographics
NPI:1124540828
Name:PARSONS, ERICA JANE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:JANE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:JANE
Other - Last Name:WALTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13500 OTTER CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-5792
Mailing Address - Country:US
Mailing Address - Phone:501-900-8119
Mailing Address - Fax:
Practice Address - Street 1:13500 OTTER CREEK PKWY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-5792
Practice Address - Country:US
Practice Address - Phone:501-900-8119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4605122300000X, 1223G0001X
MND140971223D0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
No1223D0001XDental ProvidersDentistDental Public Health