DR. Ronnie James Sparks, DDS, MS

NPI #1114156320 in Charleston, West Virginia

Provider Information

NPI Number: 1114156320
Entity Type: Individual
Name: DR. Ronnie James Sparks, DDS, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS, MS
Enumeration Date: Jul 9, 2009
Last Updated: Dec 31, 2018

Practice Location

Address: 208 LEON SULLIVAN WAY
City: Charleston
State: West Virginia
ZIP Code: 25301
Phone: (304) 342-1181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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