Organization
CLOVIS ORTHODONTICS, PLLC
Active
Organization
CLOVIS ORTHODONTICS, PLLC
Active
Other names
Sparkman Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KYLE SPARKMAN DDS, MS (OWNER)
(806) 355-9732
Entity
Organization
Contact information
Practice address
901 E 21ST ST STE A, CLOVIS, NM 88101-4492
(575) 763-1101
Mailing address
7701 SW 45TH AVE, AMARILLO, TX 79119-6299
(806) 355-9732
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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