Provider Demographics
NPI:1932827045
Name:WILLIAM J. PARR, DDS, PC
Entity Type:Organization
Organization Name:WILLIAM J. PARR, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:402-556-7794
Mailing Address - Street 1:6770 GROVER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-3612
Mailing Address - Country:US
Mailing Address - Phone:402-556-7794
Mailing Address - Fax:402-505-9788
Practice Address - Street 1:6770 GROVER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3612
Practice Address - Country:US
Practice Address - Phone:402-556-7794
Practice Address - Fax:402-505-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025097800Medicaid