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SPARKS MANAGEMENT GROUP PLLC NPI 1902524044


NPI Information

NPI: 1902524044
Provider Name: SPARKS MANAGEMENT GROUP PLLC

Doing Business As: AQUA DENTAL WALLISVILLE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5810 E SAM HOUSTON PKWY N STE L
HOUSTON, TX
ZIP 77049
Phone: (713) 436-2782
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SPARKS MANAGEMENT GROUP PLLC is a general practice dentist in Houston, TX. 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. SPARKS MANAGEMENT GROUP PLLC NPI is 1902524044. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Aqua Dental Wallisville.

The provider's business location address is:

5810 E SAM HOUSTON PKWY N STE L
HOUSTON, TX
ZIP 77049-528
Phone: (713) 436-2782
Fax: (713) 588-8638

The provider's authorized official is Muddasar Tukdi .
The authorized official title is Owner and has the following contact phone number (713) 436-2782.

The enumeration date for this NPI number is 8/15/2022 and was last updated on 11/19/2022.


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

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