DR. CYNTHIA D. PARKS DDS, PLLC (NPI# 1154713246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154713246 |
| Entity Type | Organization |
| Organization Name | DR. CYNTHIA D. PARKS DDS, PLLC |
| Other Organization Name | CYNTHIA D. PARKS DDS, PLLC |
| Practice Address |
601 Venture Dr Suite 200 Morgantown WV 26508-7310 |
| Practice Telephone | 3047774114 |
| Practice Fax Number | 3047774115 |
| Mailing Telephone | 3047774114 |
| Mailing Fax Number | 3047774115 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | DR. CYNTHIA DENISE PARKS (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 3047774114 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
13688 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810006975 | 05 | |
| MD | 012065100 | 05 |
| Other Name | Type Code |
|---|---|
| Cynthia D. Parks DDS, PLLC | Doing Business As Name - Organization |
| Street Address |
601 VENTURE DR SUITE 200 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386756054 | Cynthia Denise Parks | Dentist | 7000 Coomb's Farm Drive, Suite 102, Morgantown, WV 26508 | 2006-08-31 |
| 1659359339 | Roy E Day | Dentist | 3000 Hampton Ctr, Suite B, Morgantown, WV 26505-1708 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861022733 | Erin H Branham Dds Pllc | Dentist | 225 College Pkwy Ste 201, Parkersburg, WV 26104-7655 | 2020-01-20 |
| 1124452644 | Katie Steele Dds Pllc, Steele Pediatric Dentistry | Dentist | 204 Kruger St Ste 1, Wheeling, WV 26003-5165 | 2013-09-03 |
| 1487948741 | Eric J Bailey | Dentist | 3659 Teays Valley Rd, Suite 100, Hurricane, WV 25526-9701 | 2011-06-04 |
| 1215127881 | Erin Hudgins Branham | Dentist | 414 Alpine St, Mineral Wells, WV 26150-3015 | 2007-07-30 |
| 1922208867 | Rebecca Johnson Kucera | Dentist | 1489 N Jefferson St, Lewisburg, WV 24901-1187 | 2007-07-19 |
| 1760501001 | Tracy L. Wilkerson, Dds, Pllc | Dentist | 1400 Kanawha Blvd E, Charleston, WV 25301-3002 | 2007-03-28 |
| 1639215684 | John Patrick Martin | Dentist | 3659 Teays Valley Road, Suite 100, Hurricane, WV 25526-9701 | 2007-01-29 |
| 1306912258 | Seyed Moe Momen | Dentist | 9 Chenoweth Drive, Bridgeport, WV 26330 | 2006-11-24 |
| 1053353334 | Paul Todd Rose | Dentist | 220 Ragland Rd, Beckley, WV 25801-9721 | 2006-06-12 |
| 1528024460 | Tracy Lynn Wilkerson | Dentist | 1400 Kanawha Boulevard East, Charleston, WV 25301 | 2006-04-20 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on DR. CYNTHIA D. PARKS DDS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.