Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417156951 Individual Practitioner Male Practitioner

Dr. Ty Parker , DMD

Dentist - General Practice • Fairview Heights, IL

Professional Overview & Biography Verified Profile Summary

Dr. Ty Parker, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fairview Heights, IL. Practice services are available at 314 FOUNTAINS PKWY STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

314 Fountains Pkwy Ste C

Fairview Heights, IL 622082165

Telephone 6186221800
Fax 6184661433
Associated Practice Facility / Clinic
🏢 Ty Parker Dmd Pc Facility NPI 1023677069

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fairview Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Fairview Heights, IL (5581 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

CMS Verified: 2023-12-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019027434

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Larry Crocker , DMD

Dentist - General Practice

NPI 1588617518

Doctor of Dental Medicine

Dr. Anna Smith , DMD

Dentist - General Practice

NPI 1780621870

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 20, 2023

Registered at 314 FOUNTAINS PKWY STE C, FAIRVIEW HEIGHTS, IL 622082165 (Tel: 6186221800)

📍
Updated Business Mailing Address December 20, 2023

Registered at 314 FOUNTAINS PKWY STE C, FAIRVIEW HEIGHTS, IL 622082165 (Tel: 6186221800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2023

Dentist (License #019027434 in IL)

NPI Profile Active July 14, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2007

Registered at 1317 DADRIAN PROFESSIONAL PARK, GODFREY, IL 620351686 (Tel: 6184660733)

📍
Updated Business Mailing Address July 14, 2007

Registered at 1317 DADRIAN PROFESSIONAL PARK, GODFREY, IL 620351686 (Tel: 6184660733)

👤
Provider Name / Credentials Updated July 14, 2007

Recorded as TY PARKER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2007

Dentist

🟢
Initial NPI Registration & Enumeration July 14, 2007

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: 1417156951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2007
Last Update: December 20, 2023
Sole Proprietor: No

Mailing Address

314 Fountains Pkwy Ste C

Fairview Heights, IL 622082165

Phone: 6186221800

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.