Willie Joe Parks Jr.
D.D.S., M.D. | Oral and Maxillofacial Surgeon
815 S Fleishel Ave, Tyler
Texas, 75701-2017
903-526-7977 903-526-7989
Maps & DirectionsWillie Joe Parks Jr. is a Tyler, Texas based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Willie Joe Parks Jr. is
17107 for Oral and Maxillofacial Surgery in Texas. His current practice location is
815 S Fleishel Ave, Tyler. Patients can reach him at
903-526-7977.
Willie Joe Parks Jr. deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Willie Joe Parks Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Willie Joe Parks Jr. |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | D.D.S., M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 815 S Fleishel Ave, Tyler, Texas, 75701-2017 |
| Phone: | 903-526-7977 |
| Fax: | 903-526-7989 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1306918172 |
| NPI Enumeration Date: | 15 Nov, 2006 |
| NPI Last Update On: | 25 Mar, 2011 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Willie Joe Parks Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 17107 | Oral and Maxillofacial Surgery | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Willie Joe Parks Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1113110-02 | Medicaid | Texas | |
| 1113110-03 | Medicaid | Texas | |
| 0808586-01 | Medicaid | Texas | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 815 S Fleishel Ave, Tyler, Texas |
| Zip: | 75701-2017 |
| Phone Number: | 903-526-7977 |
| Fax Number: | 903-526-7989 |
Patients can reach Willie Joe Parks Jr. at
815 S Fleishel Ave, Tyler, Texas or can
call to book an appointment on 903-526-7977.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.