| Sparta Family Dental | |
|
515 Hugh Ave Sparta MO 65753-1220 | |
| (417) 441-0420 | |
| Not Available |
| Full Name | Sparta Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 515 Hugh Ave, Sparta, Missouri |
| Authorized Official Name and Position | Chandler Robertson (DENTIST/OWNER) |
| Authorized Official Contact | 4178440706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparta Family Dental 515 Hugh Ave Sparta MO 65753-1220 Ph: (417) 441-0420 | Sparta Family Dental 515 Hugh Ave Sparta MO 65753-1220 Ph: (417) 441-0420 |
| NPI Number | 1407602436 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407602436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |