Ty Parker Dmd PC
Ty Parker Dmd PC is a healthcare organization registered as General Practice Dentistry in Fairview Heights, IL, holding Type 2 (organization) NPI 1023677069 since 2019. The authorized official on file is Steve Mccann, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023677069 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ty Parker Dmd PC |
| Practice address | 314 FOUNTAINS PKWY STE C, Fairview Heights, IL, 62208 |
| Phone | 6186221800 |
| Fax | 6186220007 |
| Enumeration date | 2019-06-12 |
| Last updated in NPPES | 2019-06-12 |
Authorized official
| Name | Steve Mccann |
|---|---|
| Title | Office Manager |
| Phone | 6186221800 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Ty Parker Dmd PC NPI: 1023677069 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 314 FOUNTAINS PKWY STE C, Fairview Heights, IL, 62208
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417156951 | Ty Parker | Individual | General Practice Dentistry | Fairview Heights, IL |
Verify this record
Cross-check NPI 1023677069 against the authoritative CMS record: view Ty Parker Dmd PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ty Parker Dmd PC?
What is the NPI number for Ty Parker Dmd PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-06-12.