Provider Demographics
NPI:1841787504
Name:PARLEY HUBLER JR DDS PLLC
Entity Type:Organization
Organization Name:PARLEY HUBLER JR DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-446-6011
Mailing Address - Street 1:501 S ANGEL PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:LUCAS
Mailing Address - State:TX
Mailing Address - Zip Code:75002
Mailing Address - Country:US
Mailing Address - Phone:214-446-6011
Mailing Address - Fax:866-812-7774
Practice Address - Street 1:501 S ANGEL PKWY
Practice Address - Street 2:STE 100
Practice Address - City:LUCAS
Practice Address - State:TX
Practice Address - Zip Code:75002
Practice Address - Country:US
Practice Address - Phone:214-446-6011
Practice Address - Fax:866-812-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1902115835OtherNPPES