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Contact Information

CHARLES O PARKER III, DDS
219 PRINCETON RD
JOHNSON CITY, TN37601-2062
 Phone: 423-975-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for CHARLES O PARKER III · (Male)

NPI # 1457428708
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/30/2006
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • TN License # DS0000003337
  • TN Medicaid 1532259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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