| Dr Richard L Sparks Dds, Msd, Ltd | |
|
770 E Thunderbird Rd Suite C Phoenix AZ 85022-5307 | |
| (602) 993-8800 | |
| (602) 993-3419 |
| Full Name | Dr Richard L Sparks Dds, Msd, Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 770 E Thunderbird Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Richard Leland Sparks (OWNER/PRESIDENT) |
| Authorized Official Contact | 6029938800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard L Sparks Dds, Msd, Ltd 770 E Thunderbird Rd Suite C Phoenix AZ 85022-5307 Ph: (602) 993-8800 | Dr Richard L Sparks Dds, Msd, Ltd 770 E Thunderbird Rd Suite C Phoenix AZ 85022-5307 Ph: (602) 993-8800 |
| NPI Number | 1376646935 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376646935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1510 (Arizona) | Primary |
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