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NPI 1477902815

IndividualActive

Kathy Parker

NPI 1477902815 · Dental Therapist · Ft Benning, GA

Provider details

NPI number: 1477902815
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Sex: Female
Sole proprietor: No
License: XXXXX (KY)

Specialties & taxonomies

Dental TherapistPrimary125J00000XLicense XXXXX (KY)
Dental Providers

Practice location

2828 Sightseeing Rd

Ft Benning, GA 31905

Phone: (706) 545-4627

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

3307 Hummingbird Ct

Phenix City, AL 36867-7127

Registry dates

Enumerated: 2016-06-07
Last updated: 2016-06-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kathy Parker — NPI 1477902815, Ft Benning, GA | NPI Central