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Search › Missouri › 1223G0001X

Garrett Sparks, DDS

NPI 1548384027 · on the registry since 2007 · sole proprietor

Practice

Address
1166 Greenway Dr Ste A1
Jackson, MO 63755
Phone
(573) 204-8300
Organisation at this address
Elite Medical Supply
Gold Leaf Enterprises Inc
Gold Leaf Enterprises, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Missouri