Provider Demographics
NPI:1952320848
Name:PARSONS, CHARLES E I (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:E
Last Name:PARSONS
Suffix:I
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 1:106 ALYCIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2363
Mailing Address - Country:US
Mailing Address - Phone:859-623-6414
Mailing Address - Fax:859-623-6415
Practice Address - Street 1:106 ALYCIA DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2363
Practice Address - Country:US
Practice Address - Phone:859-623-6414
Practice Address - Fax:859-623-6415
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY47231223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics