Individual
DR. RONNIE JAMES SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
208 LEON SULLIVAN WAY, CHARLESTON, WV 25301
(304) 342-1181
(304) 342-4009
Mailing address
208 LEON SULLIVAN WAY, CHARLESTON, WV 25301
(304) 342-1181
(304) 342-4009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3852
WV
Other
Enumeration date
07/09/2009
Last updated
12/31/2018
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