Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ty Parker DMD PC

Organization General Practice Dentistry · NPI 1023677069

Ty Parker DMD PC provides General Practice Dentistry in Fairview Heights, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

314 Fountains Pkwy Ste C
Fairview Heights, IL 62208-2165
Phone: (618) 622-1800
Fax: (618) 622-0007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1023677069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steve McCann — Office Manager · (618) 622-1800
Other names Fountains Family Dentistry
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019
Mailing address314 Fountains Pkwy Ste C, Fairview Heights, IL 62208-2165

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