Provider Demographics
NPI:1386319572
Name:CHRISTOPHER T. PARKER, DDS, LLC
Entity type:Organization
Organization Name:CHRISTOPHER T. PARKER, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:256-533-2555
Mailing Address - Street 1:2337 WHITESBURG DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3829
Mailing Address - Country:US
Mailing Address - Phone:256-533-2555
Mailing Address - Fax:256-533-2550
Practice Address - Street 1:2337 WHITESBURG DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3829
Practice Address - Country:US
Practice Address - Phone:256-533-2555
Practice Address - Fax:256-533-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty