NPI 1154191864

Sparks Family Dental PLLC

Organisation Dental Clinic/Center Glastonbury, CT

Practice location

Address: 622 Hebron Ave STE 105, Glastonbury, CT 06033-5003
Phone: (860) 633-1809

Authorised official

Name: Matthew Adam Sparks
Title: Sole Member/General Dentist
Phone: (860) 633-1809

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1154191864
Entity type: Organization
NPI issued: 3 Jan 2024
Record last updated: 3 Jan 2024

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.