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

Ty Parker, DMD

Individual provider General Practice Dentistry · NPI 1417156951

Ty Parker, DMD is a General Practice Dentistry in Fairview Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

314 Fountains Pkwy Ste C
Fairview Heights, IL 62208-2165
Phone: (618) 622-1800
Fax: (618) 466-1433
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019027434 (IL)

Record details

NPI number1417156951
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 14, 2007
Last updated in NPPESDecember 20, 2023
Certification dateDecember 19, 2023
Mailing address314 Fountains Pkwy Ste C, Fairview Heights, IL 62208-2165

Other providers in Fairview Heights