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Individual

DR. JOSHUA THOMAS SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
228 E HOSPITAL RD, FORT GORDON, GA 30905-6011
(706) 787-1907
(706) 787-2072
Mailing address
236 E HOSPITAL RD BLDG 322, FORT GORDON, GA 30905-6011

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DE60244154
WA
1223P0700X
Prosthodontics
13014861-9926
UT
1223P0700X
Prosthodontics
Primary
DE60244154
WA

Other

Enumeration date
09/12/2011
Last updated
08/04/2026
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