Provider Demographics
NPI:1871744888
Name:TORRENS PARKER, GERALDINE (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:
Last Name:TORRENS PARKER
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 W STACY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5125
Mailing Address - Country:US
Mailing Address - Phone:469-342-6644
Mailing Address - Fax:469-342-6649
Practice Address - Street 1:940 W STACY RD STE 100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5125
Practice Address - Country:US
Practice Address - Phone:469-342-6644
Practice Address - Fax:469-342-6649
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX242761223P0700X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0700XDental ProvidersDentistProsthodontics