Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700029964 Individual Practitioner Male Practitioner

Dr. Douglas D. Parks , DDS

Dentist • Aztec, NM

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Parks, DDS is a registered healthcare professional specializing in Dentist in Aztec, NM. Practice services are available at 501 S MAIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 S Main Ave

Aztec, NM 874102247

Telephone 5053346116
Associated Practice Facility / Clinic
🏢 Smilemaker Dental Inc. Facility NPI 1679507859

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Aztec, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Aztec, NM (630 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DD1903

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental Office
1679507859 (NM)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 16, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2009

Registered at 501 S MAIN AVE, AZTEC, NM 874102247 (Tel: 5053346116)

📍
Updated Business Mailing Address April 16, 2009

Registered at 501 S MAIN AVE, AZTEC, NM 874102247 (Tel: 5053346116)

👤
Provider Name / Credentials Updated April 16, 2009

Recorded as DOUGLAS PARKS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2009

Dentist (License #DD1903 in NM)

🟢
Initial NPI Registration & Enumeration April 16, 2009

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: 1700029964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2009
Last Update: April 16, 2009
Sole Proprietor: No

Mailing Address

501 S Main Ave

Aztec, NM 874102247

Phone: 5053346116

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.