person
Jordan Samuel Sparks, DMD
General Practice Dentistry in Salem, Oregon
NPI 1679608723

Jordan Samuel Sparks is a General Practice Dentistry based in Salem, OR and is specialized in General Practice. Jordan Samuel Sparks practices in Salem, OR and has the professional credentials of DMD. The NPI Number for Jordan Samuel Sparks is 1679608723 and holds a License No. D7601 (Oregon).

The current practice location address for Jordan Samuel Sparks is 3265 Marietta St Se, Salem, OR and can be reached out via phone at 503-910-0557. You can also correspond with Jordan Samuel Sparks through the mailing address at 3265 MARIETTA ST SE, SALEM, OR - 97317-9402 (mailing address contact number: 503-910-0557).

Location: 3265 Marietta St Se, Salem, OR, 97317-9402
person
Provider Profile Details
NPI Number
1679608723
Provider Name
Jordan Samuel Sparks
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3265 Marietta St Se, Salem, OR, 97317-9402
Phone Number
503-910-0557
Fax Number
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3265 Marietta St Se
City
State
Zip
97317-9402
Phone Number
503-910-0557
Fax Number
person
Provider Business Mailing Address Details
Address
3265 Marietta St Se
City
State
Zip
97317-9402
Phone Number
503-910-0557
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
D7601 (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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