Provider Demographics
NPI:1154682037
Name:TONY PARSLEY DMD PC
Entity Type:Organization
Organization Name:TONY PARSLEY DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:541-504-3322
Mailing Address - Street 1:1332 SW HIGHLAND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2640
Mailing Address - Country:US
Mailing Address - Phone:541-504-3322
Mailing Address - Fax:541-504-4346
Practice Address - Street 1:1332 SW HIGHLAND AVE STE 1
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2640
Practice Address - Country:US
Practice Address - Phone:541-504-3322
Practice Address - Fax:541-504-4346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD7782261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental