Provider Demographics
NPI:1922029404
Name:PARKER, ALAN M (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:PARKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 VALLEY CENTER PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2357
Mailing Address - Country:US
Mailing Address - Phone:610-691-1500
Mailing Address - Fax:
Practice Address - Street 1:1665 VALLEY CENTER PKWY STE 160
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2357
Practice Address - Country:US
Practice Address - Phone:610-691-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020052L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice