Garrett S Sparks, DDS

NPI #1548384027 in Jackson, Missouri

Provider Information

NPI Number: 1548384027
Entity Type: Individual
Name: Garrett S Sparks, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1166 GREENWAY DR STE A1
City: Jackson
State: Missouri
ZIP Code: 63755-2919
Phone: (573) 204-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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