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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