Provider Demographics
NPI:1174769616
Name:PARROTT GORDON & ASSOCIATES L.P.
Entity type:Organization
Organization Name:PARROTT GORDON & ASSOCIATES L.P.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAEMPFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-746-6989
Mailing Address - Street 1:1110 E. LERDO HWY
Mailing Address - Street 2:200
Mailing Address - City:SHAFTER
Mailing Address - State:CA
Mailing Address - Zip Code:93263
Mailing Address - Country:US
Mailing Address - Phone:661-746-6989
Mailing Address - Fax:661-237-4539
Practice Address - Street 1:1110 E. LERDO HIGHWAY
Practice Address - Street 2:200
Practice Address - City:SHAFTER
Practice Address - State:CA
Practice Address - Zip Code:93263
Practice Address - Country:US
Practice Address - Phone:661-746-6989
Practice Address - Fax:661-237-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty