| Beau E Sparkman, DDS | |
|
104 W Ray Fine Blvd, Ste. 5, Roland, OK 74954-5289 | |
| (918) 503-6262 | |
| (918) 913-4595 |
| Full Name | Beau E Sparkman |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 104 W Ray Fine Blvd, Roland, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437445400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3833 (Arkansas) | Secondary |
| 1223G0001X | Dentist - General Practice | 6347 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beau E Sparkman, DDS 104 W Ray Fine Blvd, Ste. 5, Roland, OK 74954-5289 Ph: (918) 503-6262 | Beau E Sparkman, DDS 104 W Ray Fine Blvd, Ste. 5, Roland, OK 74954-5289 Ph: (918) 503-6262 |
Allison Neumeier, DDS Dentist Medicare: Medicare Enrolled Practice Location: 307 E Ray Fine Blvd Ste 1, Roland, OK 74954 Phone: 918-503-6262 | |
Joseph Wesley Farmer, Dentist Medicare: Not Enrolled in Medicare Practice Location: 307 E Ray Fine Blvd, Roland, OK 74954 Phone: 918-503-6262 |