Search › Oklahoma › 1223G0001X
Beau Sparkman, DDS
NPI 1437445400 · on the registry since 2011 · sole proprietor
Practice
- Address
- 104 W Ray Fine Blvd
Ste. 5
Roland, OK 74954 - Phone
- (918) 503-6262
- Fax
- (918) 913-4595
- Organisation at this address
- Beau Sparkman D.D.S., P.A.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- AR, OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma