National Provider Identifier Database

KENNETH W PARKS, DDS – NPI #1043326390
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

KENNETH W PARKS, DDS
636 WEST MCNEESE ST
LAKE CHARLES, LA70605
Phone: 337-477-6124
Fax: 337-477-6885
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for KENNETH W PARKS

NPI Number 1043326390
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 3873
  • LA Medicaid: 1838730
  • Other: G1204 BLUE CROSS OF LA
  • Other: 807933 UNITED CONCORDIA
Hospital affiliation n/a

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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