Dental Board of California
Licensing details for: 61389
Name: PARKER, LINCOLN CHARLES
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
777 Corporate Dr
SUITE 100
LADERA RANCH CA 92694-2135
ORANGE county
Map
License Relationships
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PARKER DENTISTRY, DENTAL GROUP OF LINCOLN PARKER, DMD, A PROFESSI
License/Registration Type: Fictitious Name Permit
License Number: 10818 Primary Status: Cancelled
Address :
777 CORPORATE DRIVE SUITE 100
LADERA RANCH CA 92694
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HALES PARKER DENTISTRY DENTAL GROUP OF DR TYLER HALES AND DR LINCOLN PARKER
License/Registration Type: Fictitious Name Permit
License Number: 15062 Primary Status: Expired
Address :
777 CORPORATE DR., SUITE 100
LADERA RANCH CA 92694
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FACER HALES PARKER DENTAL PRACTICE
License/Registration Type: Fictitious Name Permit
License Number: 18267 Primary Status: Expired
Address :
777 Corporate Dr
Ste 100
LADERA RANCH CA 92694-2135
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: PARKER, LINCOLN CHARLES
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3057 Primary Status: Current - Active
Address :
777 Corporate Dr Ste 100
LADERA RANCH CA 92694-2138
ORANGE COUNTY



