DR. JOANNA SUSAN LUCIANO PARKER D.D.S. NPI 1558581272

NPI Information

NPI: 1558581272
Provider Name: DR. JOANNA SUSAN LUCIANO PARKER, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
46 TRIFECTA PL STE 102
CHARLES TOWN, WV
ZIP 25414
Phone: (304) 725-0508
Get Directions

DR. Joanna Susan Luciano Parker, D.D.S. is a general practice dentist in Charles Town, WV. The provider is 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. DR. Joanna Susan Luciano Parker, D.D.S. NPI is 1558581272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

46 TRIFECTA PL STE 102
CHARLES TOWN, WV
ZIP 25414-958
Phone: (304) 725-0508
Fax: (304) 728-8761

The enumeration date for this NPI number is 4/26/2007 and was last updated on 1/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	3708	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06586	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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