WILL J PARKS DDS MD PA
NPI 1497054712
Dentist - Oral and Maxillofacial Surgery in Tyler, TX

Active since March 25, 2011
815 S FLEISHEL AVE, TYLER, TX 75701(903) 526-7977(903) 526-7989 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Will J Parks Dds Md Pa NPPES

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

WILL J PARKS DDS MD PA (NPI 1497054712) is a healthcare organization registered as an oral and maxillofacial surgery in Tyler, Texas and active in the NPI registry since March 2011. The organization lists Will Parks, Owner, as its authorized official.

NPPES Registry Identity

NPI1497054712
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWILL J PARKS DDS MD PA
Location Address815 S FLEISHEL AVETyler, TX 75701-2017
Mailing Address815 S Fleishel AveTyler, TX 75701-2017 · (903) 526-7977 · Fax (903) 526-7989
Fax(903) 526-7989
Organization SubpartNo
Authorized OfficialWill ParksOwner · (903) 526-7977
Enumeration DateMarch 25, 2011
NPI 1497054712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TX · 17107
Definition
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.
815 S FLEISHEL AVE, Tyler, TX 75701

Other Identifiers 2

Medicare UPIN8187JO
Medicaid111311002TX

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.

Dentist (Oral and Maxillofacial Surgery)
815 S FLEISHEL AVE
TYLER, TX 75701

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 Will J Parks Dds MD PA's NPI number?

The NPI number for Will J Parks Dds MD PA is 1497054712. It was assigned to this organization in the NPPES registry on March 25, 2011.

Where is Will J Parks Dds MD PA located?

Will J Parks Dds MD PA is located at 815 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 526-7977.

What is Will J Parks Dds MD PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Will J Parks Dds MD PA was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.