NPI 1154087120

Spark Dental Tn, PLLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Smyrna, TN

Practice location

Address: 1540 Rock Springs Rd, Smyrna, TN 37167-6141
Phone: (615) 930-3718
Fax: (615) 625-3473

Authorised official

Name: Carol Lynn Goings
Title: Regional Manager
Phone: (615) 478-7166

Registered specialties (3)

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

Other Dentist providers in Tennessee →

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Registry record

NPI: 1154087120
Entity type: Organization
NPI issued: 13 Nov 2021
Record last updated: 11 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.