Provider Demographics
NPI:1154451847
Name:PARKWAY VIEW FAMILY DENTISTRY LTD
Entity Type:Organization
Organization Name:PARKWAY VIEW FAMILY DENTISTRY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:309-792-0513
Mailing Address - Street 1:7017 JOHN DEERE PKWY STE 2B
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-1266
Mailing Address - Country:US
Mailing Address - Phone:309-792-0513
Mailing Address - Fax:309-792-0534
Practice Address - Street 1:7017 JOHN DEERE PKWY STE 2B
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-1266
Practice Address - Country:US
Practice Address - Phone:309-792-0513
Practice Address - Fax:309-792-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty