Provider Demographics
NPI:1881163350
Name:DR PARKENING DDS PLLC
Entity type:Organization
Organization Name:DR PARKENING DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:PARKENING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-350-5378
Mailing Address - Street 1:4925 FM 2920 RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3115
Mailing Address - Country:US
Mailing Address - Phone:281-350-5378
Mailing Address - Fax:281-288-6266
Practice Address - Street 1:4925 FM 2920 RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3115
Practice Address - Country:US
Practice Address - Phone:281-350-5378
Practice Address - Fax:281-288-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental