OrganizationActive
Ty Parker DMD PC
NPI 1023677069 · General Practice Dentistry · Fairview Heights, IL
Ty Parker DMD PC is a General Practice Dentistry organization in Fairview Heights, IL (NPI 1023677069).
Provider details
- NPI number
- 1023677069
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Steve Mccann, Office Manager(618) 622-1800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
314 Fountains Pkwy Ste C
Fairview Heights, IL 62208-2165
Phone: (618) 622-1800
Fax: (618) 622-0007
Street-level locationGet directions
Mailing address
314 Fountains Pkwy Ste C
Fairview Heights, IL 62208-2165
Other names (DBA / former)
- Doing business as
- Fountains Family Dentistry
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2019-06-12
Frequently asked questions
- What is Ty Parker DMD PC's NPI number?
- Ty Parker DMD PC's National Provider Identifier (NPI) is 1023677069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ty Parker DMD PC?
- Ty Parker DMD PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ty Parker DMD PC located?
- Ty Parker DMD PC's practice location on file with NPPES is 314 Fountains Pkwy Ste C, Fairview Heights, IL 62208-2165.
- What is Ty Parker DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Ty Parker DMD PC is (618) 622-1800.
- Who is the authorized official for Ty Parker DMD PC?
- The authorized official listed on Ty Parker DMD PC's NPPES record is Steve Mccann, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ty Parker DMD PC's NPI active?
- Yes — Ty Parker DMD PC's NPI (1023677069) is active in the NPPES registry as of the last update on 2019-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.