Ryan David Sparks in Corvallis - General Practice
Ryan David Sparks - NPI 1417958653
Ryan David Sparks is a General Practice in Corvallis, Oregon. Ryan David Sparks practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ryan David Sparks is 1417958653. The last update date is 2007-07-08.
Ryan David Sparks's current location address is 2635 Nw Rolling Green Dr, Corvallis, Oregon. You can contact this provider via phone number 5417549322 and fax number 5417544940. The mailing address for Ryan David Sparks is 2635 Nw Rolling Green Dr, Corvallis, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan David Sparks |
|---|---|
| Address | 2635 Nw Rolling Green Dr, Corvallis, Oregon |
| Phone Number | 5417549322 |
| Fax Number | 5417544940 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1417958653 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2635 Nw Rolling Green Dr |
|---|---|
| City | Corvallis |
| State | Oregon (OR) |
| Post Code | 973303519 |
| Phone Number | 5417549322 |
| Fax Number | 5417544940 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7602 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1329915 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ryan David Sparks?
The Ryan David Sparks has been issued the NPI (National Provider Identifier) 1417958653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Ryan David Sparks is physically located?
The Ryan David Sparks is situated at the following address: 2635 Nw Rolling Green Dr, Corvallis, OR 973303519.
What is the area of specialization for Ryan David Sparks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ryan David Sparks is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Ryan David Sparks receive the assignment of its 1417958653 from the Centers for Medicare & Medicaid Services?
The Ryan David Sparks was issued its 1417958653 by the Centers for Medicare & Medicaid Services on 2005-08-10.
When was the information related to Ryan David Sparks most recently updated or refreshed?
The details pertaining to the Ryan David Sparks, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.