Individual
JORDYN ALEXIS SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5040 CAROTHERS PKWY, FRANKLIN, TN 37067-6020
(660) 988-4153
Mailing address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(660) 988-4153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12865
TN
Other
Enumeration date
05/09/2023
Last updated
06/24/2025
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