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Organization
BEAU SPARKMAN D.D.S., P.A.
Active
Organization
BEAU SPARKMAN D.D.S., P.A.
Active
Parent organization
BEAU SPARKMAN, DDS, PA
Other names
Family Dental Care of Ft. Smith
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAU SPARKMAN, DDS, PA
Authorized official
BEAU E SPARKMAN (OWNER/DENTIST)
(918) 503-6262
Entity
Organization
Contact information
Practice address
400 S 18TH ST, FORT SMITH, AR 72901-3942
(479) 785-1419
(479) 785-4390
Mailing address
104 W RAY FINE BLVD UNIT 5, ROLAND, OK 74954-5299
(918) 503-6262
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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