Provider Demographics
NPI:1174506745
Name:PARKER, WILLIAM B (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:PARKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3200 SOUTH UNIVERSITY DRIVE
Mailing Address - Street 2:NSU COLLEGE OF DENTAL MEDICINE DEPT OF PERIODONTOLOGY
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33328
Mailing Address - Country:US
Mailing Address - Phone:954-262-7330
Mailing Address - Fax:954-262-1782
Practice Address - Street 1:3200 SOUTH UNIVERSITY DRIVE
Practice Address - Street 2:NSU COLLEGE OF DENTAL MEDICINE DEPT OF PERIODONTOLOGY
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-262-7330
Practice Address - Fax:954-262-1782
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010081751223P0300X
FL4801223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics