| Sparks Family Dental Pllc | |
|
622 Hebron Ave Ste 105 Glastonbury CT 06033-5003 | |
| (860) 633-1809 | |
| Not Available |
| Full Name | Sparks Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 622 Hebron Ave Ste 105, Glastonbury, Connecticut |
| Authorized Official Name and Position | Matthew Adam Sparks (SOLE MEMBER/GENERAL DENTIST) |
| Authorized Official Contact | 8606331809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Family Dental Pllc 622 Hebron Ave Ste 105 Glastonbury CT 06033-5003 Ph: (860) 633-1809 | Sparks Family Dental Pllc 622 Hebron Ave Ste 105 Glastonbury CT 06033-5003 Ph: (860) 633-1809 |
| NPI Number | 1154191864 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154191864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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