DR. Jerry Preston Sparks, DDS
NPI #1942361381 in Paradise Valley, Arizona
Provider Information
- NPI Number
- 1942361381
- Entity Type
- Individual
- Name
- DR. Jerry Preston Sparks, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10565 N TATUM BLVD STE B110
- City
- Paradise Valley
- State
- Arizona
- ZIP Code
- 85253-1095
- Phone
- (480) 998-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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