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Beau Sparkman D.d.s., P.a.
General Practice Dentistry in Roland, Oklahoma
NPI 1114292984

Beau Sparkman D.d.s., P.a. is a General Practice Dentistry based in Roland, OK and is specialized in General Practice. Beau Sparkman D.d.s., P.a. practices in Roland, OK. The NPI Number for Beau Sparkman D.d.s., P.a. is 1114292984 and holds a License No. 6347 (Oklahoma).

The current practice location address for Beau Sparkman D.d.s., P.a. is 104 W Ray Fine Blvd, Roland, OK and can be reached out via phone at 918-503-6262.

Location: 104 W Ray Fine Blvd, Roland, OK, 74954-5289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114292984
Provider Name
Beau Sparkman D.d.s., P.a.
Credential
Provider Entity Type
Organization
Address
104 W Ray Fine Blvd, Roland, OK, 74954-5289
Phone Number
918-503-6262
Fax Number
Provider Enumeration Date
03/13/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200343870A 05 OK
institution
Provider Business Practice Location Address Details
Address
104 W Ray Fine Blvd
City
Roland
State
Oklahoma
Zip
74954-5289
Phone Number
918-503-6262
Fax Number
person
Provider Business Mailing Address Details
Address
104 W Ray Fine Blvd
City
Roland
State
Oklahoma
Zip
74954-5289
Phone Number
918-503-6262
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6347 (Oklahoma)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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