Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy James Parker, DMDPA

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1861429086

Timothy James Parker, DMDPA is an Oral Surgery in Jacksonville, Florida. Qualified in 1977, 49 years ago. Licensed in Florida.

Years since qualifying
49
Licensed in
FL
In the registry since
2006

Practice location Address checks out

8351 Bayberry Rd
Jacksonville, FL 32256-4427
Phone: (904) 737-3263
Fax: (904) 448-5301
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN0010957 (FL)

Record details

NPI number1861429086
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDPA
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESApril 7, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Not indicated

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