Provider Demographics
NPI:1447466388
Name:PARKER, WILLIAM CURTIS (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CURTIS
Last Name:PARKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 6TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3289
Mailing Address - Country:US
Mailing Address - Phone:863-299-1261
Mailing Address - Fax:863-299-1262
Practice Address - Street 1:211 6TH ST SE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3289
Practice Address - Country:US
Practice Address - Phone:863-299-1261
Practice Address - Fax:863-299-1262
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00073861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics