Individual
DR. JENNA MARIE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2014023988
MO
1223P0221X
Pediatric Dentistry
61700
KS
Other
Enumeration date
06/16/2015
Last updated
12/03/2025
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