Sparks, Jerry Preston

Sparks, Jerry Preston is an sole proprietor health care provider with primary practice located at 10565 N Tatum Blvd Ste B110 , Paradise Valley AZ 85253-1095. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sparks, Jerry Preston can be contacted via phone (480) 998-2300.

Contact Information

Primary practice address
10565 N Tatum Blvd Ste B110 Paradise Valley AZ 85253-1095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2223 Arizona

Profile Details

NPI number 1942361381
LBN Legal business name Sparks, Jerry Preston
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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