Individual
JASON SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9150 NE BARRY RD, SUITE B, KANSAS CITY, MO 64157-1247
(816) 792-3500
Mailing address
9150 NE BARRY RD, SUITE B, KANSAS CITY, MO 64157-1247
(816) 792-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2015019106
MO
Other
Enumeration date
06/22/2015
Last updated
04/03/2017
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