BEAU SPARKMAN D.D.S. P.A. NPI 1114292984

NPI Information

BEAU SPARKMAN D.D.S., P.A. is a general practice dentist in Roland, OK. 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. BEAU SPARKMAN D.D.S., P.A. NPI is 1114292984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 W RAY FINE BLVD
SUITE 5
ROLAND, OK
ZIP 74954-289
Phone: (918) 503-6262

The provider's authorized official is Beau Sparkman .
The authorized official title is President and has the following contact phone number (479) 739-4999.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 3/13/2012.

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:

Other Identifiers

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