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Search › Illinois › 1223G0001X

Ty Parker, DMD

NPI 1417156951 · on the registry since 2007

Practice

Address
314 Fountains Pkwy Ste C
Fairview Heights, IL 62208
Phone
(618) 622-1800
Fax
(618) 466-1433
Organisation at this address
Jfj Eyecare Ltd
Ty Parker Dmd Pc
Fountains Eyecare Center, Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois