Individual
DR. JOE DAVID SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4881 SUGAR MAPLE DR, 48DS, WPAFB, OH 45433-5546
(937) 256-5889
Mailing address
2398 HILLSDALE DR, BEAVERCREEK, OH 45431-5670
(618) 334-5741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4840
KY
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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