Sparks, Ryan David

Sparks, Ryan David is an individual health care provider with primary practice located at 2635 Nw Rolling Green Dr , Corvallis OR 97330-3519. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sparks, Ryan David can be contacted via phone (541) 754-9322.

Contact Information

Primary practice address
2635 Nw Rolling Green Dr Corvallis OR 97330-3519
Phone: (541) 754-9322
Fax: (541) 754-4940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7602 Oregon

Profile Details

NPI number 1417958653
LBN Legal business name Sparks, Ryan David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417958653 NPPES
Other 1329915 UNITED CONCORDIA

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