Sparks Modern Dentistry

NPI #1811571631 in Sparks, Nevada

Provider Information

NPI Number: 1811571631
Entity Type: Organization
Organization Name: Sparks Modern Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: May 7, 2021
Last Updated: May 7, 2021

Practice Location

Address: 2454 WINGFIELD HILLS ROAD
Address 2: SUITE 100
City: Sparks
State: Nevada
ZIP Code: 89436
Phone: (775) 525-5510

Authorized Official

Name: ERIN MCEVOY
Title: OWNER
Phone: (714) 845-8500

Specialties & Taxonomy Codes

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

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