| Spark Dental Va, Pllc | |
| 
					235 Linden Sq Bristol VA 24202-5875  | |
| (276) 642-0043 | |
| Not Available | 
| Full Name | Spark Dental Va, Pllc | 
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics | 
| Location | 235 Linden Sq, Bristol, Virginia | 
| Authorized Official Name and Position | Carol Lynn Goings (MGR) | 
| Authorized Official Contact | 6154787166 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Spark Dental Va, Pllc 1540 Rock Springs Rd Smyrna TN 37167-6141 Ph: (615) 672-7221  | Spark Dental Va, Pllc 235 Linden Sq Bristol VA 24202-5875 Ph: (276) 642-0043  | 
| NPI Number | 1710647433 | 
|---|---|
| Provider Enumeration Date | 12/21/2021 | 
| Last Update Date | 12/21/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710647433 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary | 
Victoria C. Bettis, Dds,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14391 Lee Hwy, Bristol, VA 24202 Phone: 276-669-1370 Fax: 276-669-6348  | |
Tomhave Olson Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 Phone: 218-879-4541  | |
Barry R. Matheson, Dds, Msd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 Gate City Highway, Bristol, VA 24201 Phone: 276-669-1231 Fax: 276-466-6872  | |
Ronald D Jessup Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14245 Lee Hwy, Bristol, VA 24202 Phone: 276-628-8164 Fax: 276-644-3145  | |
Leighton W Wood Dds Ms P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Linden Square Drive, Bristol, VA 24202 Phone: 276-642-0043 Fax: 276-642-0077  | |
Sonya K. Martin Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2426 Lee Hwy, Suite 110, Bristol, VA 24202 Phone: 276-644-1155 Fax: 276-644-1156  | |
Washington Co Health Dept Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15068 Lee Highway, Suite 1000, Bristol, VA 24202 Phone: 276-676-5604 Fax: 276-645-1994  |