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Deactivated NPI 1245483775 Deactivated / Inactive NPI Male Practitioner

Robert P Parks

Dentist • Tumwater, WA

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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, Robert Parks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 28, 2008
NPI Deactivation Date June 18, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Robert Parks was a registered Dentist practicing in Tumwater, WA. Throughout an active medical career spanning 10 years, Robert Parks provided care at the practice location at 1620 DAHLIA LN SW until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

1620 Dahlia Ln Sw
#45-101

Tumwater, WA 985128340

Telephone 2062008509

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tumwater, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Tumwater, WA (2853 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 WA DE00004389

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.

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 June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active October 28, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 28, 2008

Registered at 1620 DAHLIA LN SW, #45-101, TUMWATER, WA 985128340 (Tel: 2062008509)

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Updated Business Mailing Address October 28, 2008

Registered at 1620 DAHLIA LN SW, #45-101, TUMWATER, WA 985128340 (Tel: 2062008509)

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Provider Name / Credentials Updated October 28, 2008

Recorded as ROBERT PARKS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2008

Dentist (License #DE00004389 in WA)

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Initial NPI Registration & Enumeration October 28, 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: 1245483775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2008
Last Update: October 28, 2008
Deactivation Date: June 18, 2018

Mailing Address

1620 Dahlia Ln Sw, #45-101

Tumwater, WA 985128340

Phone: 2062008509

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.