Individual provider · Type 1 NPI
Nathaniel Parks, DMD
Student in an Organized Health Care Education/Training Program · New London, NC
NPI number
1396367033
Active
Practice location
770 Lake Forest Dr
New London, NC 28127-7609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1396367033
Nathaniel Parks, DMD's National Provider Identifier is 1396367033, issued on May 16, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New London, NC. The record was last updated on May 16, 2020.