John Wesley Parker | Jacksonville, NC • PECOS Search

John Wesley Parker

Dentist

Dental Providers

27 Office Park Dr, Jacksonville, NC 28546-3219

PECOS Enrollment

Based on the most recent information from CMS, provider John Wesley Parker does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1205222304
Provider Type
Individual
Full Name
Parker, John Wesley
Title
Dr.
Credential
D.D.S.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/15/2015
Last Updated
11/20/2015

Contact Information

Practice Location

27 Office Park Dr, Jacksonville, NC 28546-3219

Unlisted Fax

Mailing Location

27 Office Park Dr, Jacksonville, NC 28546-3219

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 10219 North Carolina