IndividualActive
Christopher Parks, DDS
NPI 1386653095 · Periodontics · Sullivan, MO
Provider details
- NPI number
- 1386653095
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20030115559 (MO)
Practice location
400 Cumberland Way
Suite a
Sullivan, MO 63080-3321
Phone: (573) 468-7556
Fax: (573) 468-7530
Mailing address
400 Cumberland Way
Sullivan, MO 63080-3321
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2011-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.