Provider Demographics
NPI:1386756054
Name:PARKS, CYNTHIA DENISE (DDS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:DENISE
Last Name:PARKS
Suffix:
Gender:F
Credentials:DDS
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Other - First Name:
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Mailing Address - Street 1:7000 COOMB'S FARM DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-6874
Mailing Address - Country:US
Mailing Address - Phone:304-777-4114
Mailing Address - Fax:304-777-4115
Practice Address - Street 1:7000 COOMB'S FARM DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508
Practice Address - Country:US
Practice Address - Phone:304-777-4114
Practice Address - Fax:304-777-4115
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD136881223P0221X
WV36161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry