Bruce Dale Parker, DDS

General Practice Dentistry · Camillus, NY

Individual Active NPI

NPI number 1679601843

Practice location

5109 W Genesee St
Camillus, NY 13031-2352
Phone
(315) 487-2825

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NPI record

NPI
1679601843
Entity type
Individual (Type 1)
Enumeration date
March 1, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 032942 NY

Mailing address

5891 Bennetts Corners Rd
Camillus, NY 13031-8618
Phone
(315) 672-5198

About Dr. Parker

Bruce Dale Parker, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5109 W Genesee St, Camillus, NY 13031-2352. The NPI number 1679601843 was assigned on March 1, 2007 and the record was last updated on July 8, 2007.

Dr. Parker lists a license in the registry: #032942 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bruce Dale Parker, DDS?

The NPI number is 1679601843.

What is the phone number of Dr. Parker?

The phone number listed for the practice location is (315) 487-2825.

Where is Dr. Parker located?

5109 W Genesee St, Camillus, NY 13031-2352.

What is the taxonomy code for Dr. Parker?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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