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Individual
DR. JEREMIAH JASON SPARKS
Active
Individual
DR. JEREMIAH JASON SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011429A
IN
1223P0700X
Prosthodontics
12011429A
IN
Other
Enumeration date
05/25/2010
Last updated
02/03/2025
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