Provider Demographics
NPI:1316277676
Name:PARKER, DAVID WESLEY II (MD, DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WESLEY
Last Name:PARKER
Suffix:II
Gender:M
Credentials:MD, DDS
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Mailing Address - Street 1:900 OLD WINSTON RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-9964
Mailing Address - Country:US
Mailing Address - Phone:336-992-2123
Mailing Address - Fax:336-992-2330
Practice Address - Street 1:122 E KINDERTON WAY
Practice Address - Street 2:
Practice Address - City:BERMUDA RUN
Practice Address - State:NC
Practice Address - Zip Code:27006-7303
Practice Address - Country:US
Practice Address - Phone:336-998-3300
Practice Address - Fax:336-998-3333
Is Sole Proprietor?:No
Enumeration Date:2010-01-10
Last Update Date:2020-09-28
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Provider Licenses
StateLicense IDTaxonomies
NC2014-02166204E00000X
NC8772204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery