Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 2014-02166 | NC |
NPI | 1316277676 |
---|---|
Provider Name | Dr. David Wesley Parker II |
First Address | Kernersville, NC 27284-9964 |
Second Address | Bermuda Run, NC 27006-7303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2010 |
Last Update Date | 28/09/2020 |