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Deactivated NPI 1316192412 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Earl Parks , DDS

Dentist - General Practice • Fortuna, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Parks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 18, 2008
NPI Deactivation Date October 14, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Parks, DDS was a registered Dentist - General Practice practicing in Fortuna, CA. Throughout an active medical career spanning 11 years, Dr. Parks provided care at the practice location at 3302 RENNER DRIVE until profile deactivation on 2019-10-14.

Practice Location & Contact Primary Location

Practice Address

3302 Renner Drive

Fortuna, CA 955403120

Telephone 7077259311
Fax 7077259300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fortuna, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Fortuna, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 21629

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 14, 2019

Record deactivated on October 14, 2019

NPI Profile Active November 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 18, 2008

Registered at 3302 RENNER DRIVE, FORTUNA, CA 955403120 (Tel: 7077259311)

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Updated Business Mailing Address November 18, 2008

Registered at 3302 RENNER DRIVE, FORTUNA, CA 955403120 (Tel: 7077259311)

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Provider Name / Credentials Updated November 18, 2008

Recorded as ROBERT PARKS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2008

Dentist (License #21629 in CA)

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Initial NPI Registration & Enumeration November 18, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316192412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2008
Last Update: November 18, 2008
Deactivation Date: October 14, 2019

Mailing Address

3302 Renner Drive

Fortuna, CA 955403120

Phone: 7077259311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.