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SPARK DENTISTRY PLLC NPI 1073234241


NPI Information

NPI: 1073234241
Provider Name: SPARK DENTISTRY PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7584 E STATE ROUTE 69
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 499-3061
Get Directions

SPARK DENTISTRY PLLC is a general practice dentist in Prescott Valley, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SPARK DENTISTRY PLLC NPI is 1073234241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7584 E STATE ROUTE 69
PRESCOTT VALLEY, AZ
ZIP 86314-278
Phone: (928) 499-3061

The provider's authorized official is Simon Park .
The authorized official title is Owner and has the following contact phone number (928) 499-3061.

The enumeration date for this NPI number is 9/7/2022 and was last updated on 6/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.