PARKER DENTAL
NPI 1962056572
Clinic/Center in Lake Havasu City, AZ

Active since July 31, 2019
2872 JAMAICA BLVD S, LAKE HAVASU CITY, AZ 86406(928) 733-6199 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Parker Dental NPPES

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

PARKER DENTAL (NPI 1962056572) is a healthcare organization registered as a clinic/center in Lake Havasu City, Arizona and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Parker and lists Ilan Shamos, Owner, as its authorized official.

NPPES Registry Identity

NPI1962056572
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePARKER DENTAL
Location Address2872 JAMAICA BLVD SLake Havasu City, AZ 86406-7707
Mailing Address2872 Jamaica Blvd SLake Havasu City, AZ 86406-7707 · (928) 733-6199
Organization SubpartNo
Authorized OfficialIlan ShamosOwner · (928) 733-6199
Enumeration DateJuly 31, 2019
NPI 1962056572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2872 JAMAICA BLVD S, Lake Havasu City, AZ 86406

Secondary Practice Location 1

Location 1155 W Riverside Dr Ste 153Parker, AZ 85344-5221 · Phone (928) 669-0099

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ 86406
Dental Assistant
2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ 86406
Clinic/Center (Dental)
2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ 86406

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 Parker Dental's NPI number?

The NPI number for Parker Dental is 1962056572. It was assigned to this organization in the NPPES registry on July 31, 2019.

Where is Parker Dental located?

Parker Dental is located at 2872 Jamaica Blvd S, Lake Havasu City, AZ 86406. The listed phone number is (928) 733-6199.

What is Parker Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Parker Dental was last updated on July 31, 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.