Provider Demographics
NPI:1760583439
Name:PARKER, CAROLYN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:K
Last Name:PARKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 BELTLINE
Mailing Address - Street 2:STE 224
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254
Mailing Address - Country:US
Mailing Address - Phone:972-934-8255
Mailing Address - Fax:972-934-8262
Practice Address - Street 1:6009 BELTLINE
Practice Address - Street 2:STE 224
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254
Practice Address - Country:US
Practice Address - Phone:972-934-8255
Practice Address - Fax:972-934-8262
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12224122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist