Individual provider · Type 1 NPI
Willie Joe Parks Jr., DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Tyler, TX
NPI number
1306918172
Active
Practice location
815 S Fleishel Ave
Tyler, TX 75701-2017
Fax (903) 526-7989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 17107 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1306918172
Willie Joe Parks Jr., DDS, MD's National Provider Identifier is 1306918172, issued on Nov 15, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tyler, TX. The record was last updated on Mar 25, 2011.