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MR. SAMUEL EDWARD PARKER JR. DDS
NPI 1689779936
Dentist - Periodontics in Florence, SC

Active since September 13, 2006PECOS Enrolled
1509 HERITAGE LANE, FLORENCE, SC 29505(843) 669-1836(843) 669-0141 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Samuel Edward Parker Jr. Dds NPPES

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

MR. SAMUEL EDWARD PARKER JR. DDS (NPI 1689779936) is an individual periodontics provider in Florence, South Carolina, licensed in South Carolina (1387108) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689779936
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMR. SAMUEL EDWARD PARKER JR.Credential: DDS
Location Address1509 HERITAGE LANEFlorence, SC 29505
Mailing Address1509 Heritage LaneFlorence, SC 29505 · (843) 669-1836 · Fax (843) 669-0141
Phone(843) 669-1836
Fax(843) 669-0141
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689779936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 1387108
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1509 HERITAGE LANE, Florence, SC 29505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Edward Parker Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

S EDWARD PARKER DDS PA
Dentist
1509 HERITAGE LANE
FLORENCE, SC 29505
Florence County (843) 669-1836

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 Samuel Parker's NPI number?

The NPI number for Samuel Parker is 1689779936. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Samuel Parker located?

Samuel Parker practices at 1509 Heritage Lane, Florence, SC 29505. The listed phone number is (843) 669-1836.

What is Samuel Parker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Samuel Parker enrolled in Medicare?

Yes. Samuel Parker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Parker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.