Provider Demographics
NPI:1538297957
Name:PARSONS, HARRY ROBERT III (DDS)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:ROBERT
Last Name:PARSONS
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:NM
Mailing Address - Zip Code:88230-0267
Mailing Address - Country:US
Mailing Address - Phone:505-734-5402
Mailing Address - Fax:505-734-5402
Practice Address - Street 1:118 EAST SECOND STREET
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:NM
Practice Address - Zip Code:88230-0267
Practice Address - Country:US
Practice Address - Phone:505-734-5402
Practice Address - Fax:505-734-5402
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD-15121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM02 047 248 000OtherNM TAX ID NUMBER