Provider Demographics
NPI:1841570892
Name:STEPHEN M PARKER DDS LTD
Entity Type:Organization
Organization Name:STEPHEN M PARKER DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:D D S
Authorized Official - Phone:847-247-4444
Mailing Address - Street 1:300 CENTER DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1525
Mailing Address - Country:US
Mailing Address - Phone:847-247-4444
Mailing Address - Fax:847-247-4425
Practice Address - Street 1:300 CENTER DR
Practice Address - Street 2:SUITE 106
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1525
Practice Address - Country:US
Practice Address - Phone:847-247-4444
Practice Address - Fax:847-247-4425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty