Provider Demographics
NPI:1801183983
Name:PARSONS, KATHY LE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:LE
Last Name:PARSONS
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 1:1440 REED CANAL RD
Mailing Address - Street 2:STE 3
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-9418
Mailing Address - Country:US
Mailing Address - Phone:386-760-0550
Mailing Address - Fax:
Practice Address - Street 1:1440 REED CANAL RD
Practice Address - Street 2:STE 3
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-9418
Practice Address - Country:US
Practice Address - Phone:386-760-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry