| Sparks Pediatric Dentistry | |
|
100 Sparks Valley Rd Ste C Sparks MD 21152-9234 | |
| (410) 771-8200 | |
| (410) 771-8201 |
| Full Name | Sparks Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 Sparks Valley Rd Ste C, Sparks, Maryland |
| Authorized Official Name and Position | Melena Evancho Parlette (DENTIST/OWNER) |
| Authorized Official Contact | 5709567867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparks Pediatric Dentistry 15039 Jarrettsville Pike Monkton MD 21111-2405 Ph: (570) 956-7867 | Sparks Pediatric Dentistry 100 Sparks Valley Rd Ste C Sparks MD 21152-9234 Ph: (410) 771-8200 |
| NPI Number | 1336823798 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336823798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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