1. Home
  2. Directory
  3. Illinois
  4. Fairview Heights
  5. Dentist
  6. NPI Profile

TY PARKER DMD PC
NPI 1023677069
Dentist - General Practice in Fairview Heights, IL

Active since June 12, 2019
314 FOUNTAINS PKWY STE C, FAIRVIEW HEIGHTS, IL 62208(618) 622-1800(618) 622-0007 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ty Parker Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TY PARKER DMD PC (NPI 1023677069), doing business as Fountains Family Dentistry, is a healthcare organization registered as a general practice in Fairview Heights, Illinois and active in the NPI registry since June 2019. The organization lists Steve Mccann, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023677069
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTY PARKER DMD PC
Location Address314 FOUNTAINS PKWY STE CFairview Heights, IL 62208-2165
Mailing Address314 Fountains Pkwy Ste CFairview Heights, IL 62208-2165 · (618) 622-1800 · Fax (618) 622-0007
Phone(618) 622-1800
Fax(618) 622-0007
Organization SubpartNo
Authorized OfficialSteve MccannOffice Manager · (618) 622-1800
Enumeration DateJune 12, 2019
✔ NPI 1023677069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
314 FOUNTAINS PKWY STE C, Fairview Heights, IL 62208
Open in Google Maps ↗

Other Names 1

Doing Business AsFountains Family Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TY PARKER DMD
Dentist (General Practice)
314 FOUNTAINS PKWY STE C
FAIRVIEW HEIGHTS, IL 62208
St. Clair County (618) 622-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ty Parker Dmd PC's NPI number?

The NPI number for Ty Parker Dmd PC is 1023677069. It was assigned to this organization in the NPPES registry on June 12, 2019. The provider is doing business as Fountains Family Dentistry.

Where is Ty Parker Dmd PC located?

Ty Parker Dmd PC is located at 314 Fountains Pkwy Ste C, Fairview Heights, IL 62208. The listed phone number is (618) 622-1800.

What is Ty Parker Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ty Parker Dmd PC was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.