Larry D Sparks, DDS is a
Dentist based in West, Texas. Larry D Sparks is licensed to practice in Texas (license number TX14129) and his current practice location is
312 N Main, West, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 826-4067.
NPI number for Larry D Sparks is 1558469312 and his current mailing address is Po Box 369, 312 N Main, West, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558469312.
Healthcare Provider's Profile
| Full Name | Larry D Sparks |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 312 N Main, West, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558469312
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Larry D Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558469312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | TX14129 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry D Sparks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry D Sparks, DDS
Po Box 369, 312 N Main,
West, TX 76691-0369
Ph: (254) 826-4067 | Larry D Sparks, DDS
312 N Main,
West, TX 76691-0369
Ph: (254) 826-4067 |
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