Individual provider · Type 1 NPI
Timothy Parke, DMD, MBS
Oral and Maxillofacial Surgery (Dentist) · New Smyrna Beach, FL
Practice location
151 Colony Park Rd
New Smyrna Beach, FL 32168-0001
Fax (844) 704-4268
Mailing address
311 Condict Dr
New Smyrna Beach, FL 32169-2408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN29413 (FL) |
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.
About NPI 1437615325
Timothy Parke, DMD, MBS's National Provider Identifier is 1437615325, issued on Feb 15, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New Smyrna Beach, FL. The record was last updated on Aug 7, 2024.