Sparta Family Dental

NPI #1407602436 in Sparta, Missouri

Provider Information

NPI Number: 1407602436
Entity Type: Organization
Organization Name: Sparta Family Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 29, 2024
Last Updated: Apr 29, 2024

Practice Location

Address: 515 HUGH AVE
City: Sparta
State: Missouri
ZIP Code: 65753-1220
Phone: (417) 441-0420

Authorized Official

Name: CHANDLER ROBERTSON, DDS
Title: DENTIST/OWNER
Phone: (417) 844-0706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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