IndividualActive
Charles Parker, D.D.S.
NPI 1457428708 · Public Health Dentistry · Johnson City, TN
Provider details
- NPI number
- 1457428708
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DS0000003337 (TN)
Specialties & taxonomies
Dental Providers
Practice location
219 Princeton Rd
Johnson City, TN 37601-2062
Phone: (423) 975-2200
Approximate (ZIP-level) locationGet directions
Mailing address
130 Tucker Ln
Johnson City, TN 37601-2947
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2013-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.