Sparkle Dental Center at Ferguson PC

Primary specialty

DentistTaxonomy code 122300000X

License

21736 Issued in TX

Legal business name

SPARKLE DENTAL CENTER AT FERGUSON PC

Practice address

2572 Gus Thomasson Rd
Dallas, TX 75228-3017

Phone

(214) 342-9600

Fax

(214) 342-9604

NPI assigned

Apr 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tuan Nguyen, DDS

Title

Owner

Phone

(214) 342-9600

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1124344452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 SKILLMAN ST",
            "address_2": "STE 128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439031",
            "telephone_number": "214-342-9600",
            "fax_number": "214-342-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283017",
            "telephone_number": "214-342-9600",
            "fax_number": "214-342-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE DENTAL CENTER AT FERGUSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-342-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spark and Pivot LLC
• Spark Biomedical
• Sparkle Dental Center
• Sparkle Dental Center - Grand
• Sparkle Dental Center Associates PC
• Caroline Buckner Sparkman, MD
• Laura L Sparkman, LPC
• Tonya Mae Sparks
• Wayne Ray Sparks, RPSS
• Toni L Sparrow, PA-C

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.