Provider Demographics
NPI:1649229097
Name:PARKER, DENNIS MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MATTHEW
Last Name:PARKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3366 NW EXPRESSWAY
Mailing Address - Street 2:#660
Mailing Address - City:OKC
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4416
Mailing Address - Country:US
Mailing Address - Phone:405-947-3345
Mailing Address - Fax:405-949-0849
Practice Address - Street 1:3366 NW EXPRESSWAY
Practice Address - Street 2:#660
Practice Address - City:OKC
Practice Address - State:OK
Practice Address - Zip Code:73112-4416
Practice Address - Country:US
Practice Address - Phone:405-947-3345
Practice Address - Fax:405-949-0849
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK13570207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK290013982OtherRAILROAD MEDICARE
OK100018780AMedicaid
OK243728307Medicare PIN
OK290013982OtherRAILROAD MEDICARE