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Dr. Ryan David Sparks, DMD
General Practice Dentistry in Corvallis, Oregon
NPI 1417958653

Ryan David Sparks is a General Practice Dentistry based in Corvallis, OR and is specialized in General Practice. Ryan David Sparks practices in Corvallis, OR and has the professional credentials of DMD. The NPI Number for Ryan David Sparks is 1417958653 and holds a License No. D7602 (Oregon).

The current practice location address for Ryan David Sparks is 2635 Nw Rolling Green Dr, Corvallis, OR and can be reached out via phone at 541-754-9322 and via fax at 541-754-4940. You can also correspond with Ryan David Sparks through the mailing address at 2635 NW ROLLING GREEN DR, CORVALLIS, OR - 97330-3519 (mailing address contact number: 541-754-9322).

Location: 2635 Nw Rolling Green Dr, Corvallis, OR, 97330-3519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417958653
Provider Name
Ryan David Sparks
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2635 Nw Rolling Green Dr, Corvallis, OR, 97330-3519
Phone Number
541-754-9322
Fax Number
541-754-4940
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1329915 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2635 Nw Rolling Green Dr
City
Corvallis
State
Oregon
Zip
97330-3519
Phone Number
541-754-9322
Fax Number
541-754-4940
person
Provider Business Mailing Address Details
Address
2635 Nw Rolling Green Dr
City
Corvallis
State
Oregon
Zip
97330-3519
Phone Number
541-754-9322
Fax Number
541-754-4940
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D7602 (Oregon)
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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