Willie Joe Parks, D.D.S., M.D. is an oral and maxillofacial surgery dentist in Tyler, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Willie Joe Parks, D.D.S., M.D. NPI is 1306918172. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
815 S FLEISHEL AVE
TYLER, TX
ZIP 75701-017
Phone: (903) 526-7977
Fax: (903) 526-7989
The NPI 1306918172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/25/2011.