Beau Sparkman D.d.s., P.a. is a Dental Clinic in Roland, Oklahoma. It is located at 104 W Ray Fine Blvd, Suite 5, Roland, OK and its contact number is 918-503-6262. The authorized person for Beau Sparkman D.d.s., P.a. is Beau Sparkman
who is President of the clinic and their contact number is 479-739-4999. The primary license number for Beau Sparkman D.d.s., P.a. is 6347 (General Practice) in Oklahoma. Beau Sparkman D.d.s., P.a. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Beau Sparkman D.d.s., P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Beau Sparkman D.d.s., P.a.
Specialization:
General Practice Dentistry
Clinic Address:
104 W Ray Fine Blvd, Suite 5, Roland, Oklahoma, 74954-5289
Phone:
918-503-6262
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Beau Sparkman
Position:
President
Contact Number:
479-739-4999
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Beau Sparkman D.d.s., P.a. clinic are as mentioned below.
NPI Number:
1114292984
NPI Enumeration Date:
13 Mar, 2012
NPI Last Update On:
13 Mar, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beau Sparkman D.d.s., P.a. are as mentioned below.
Specialization
License Number
State
Status
General Practice
6347
Oklahoma
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200343870A
Medicaid
Oklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Beau Sparkman D.d.s., P.a. 104 W Ray Fine Blvd, Suite 5 Roland, Oklahoma
Zip:
74954-5289
Phone Number:
918-503-6262
Patients can reach Beau Sparkman D.d.s., P.a. at 104 W Ray Fine Blvd, Suite 5, Roland, Oklahoma or can call to book an appointment on 918-503-6262. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.