Sparks Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SPARKS PEDIATRIC DENTISTRY

Practice address

100 Sparks Valley Rd Ste C
Sparks, MD 21152-9234

Phone

(410) 771-8200

Fax

(410) 771-8201

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Melena Evancho Parlette, DDSNPI 1598076564

Title

Dentist/Owner

Phone

(570) 956-7867

Specialties & licenses 1

Addresses

Other names 1

• Dentistry For Kids Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melena Evancho Parlette, D.D.S.

  • Pediatric Dentistry
  • Sparks, MD
  • NPI 1598076564
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1336823798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15039 JARRETTSVILLE PIKE",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211112405",
            "telephone_number": "570-956-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPARKS VALLEY RD STE C",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529234",
            "telephone_number": "410-771-8200",
            "fax_number": "410-771-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "PARLETTE",
        "authorized_official_first_name": "MELENA",
        "authorized_official_middle_name": "EVANCHO",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "570-956-7867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry For Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Sharp, SLP-CCC
• Haley Simpson
• Amanda Slenbaker
• Lateres Smith
• Hannah Kathleen Sortino
• Sparks Physical Therapy, Inc.
• Sparks Physical Therapy, Inc.
• Jeanne Kathleen Sparks, PA-C
• Spectrum Speech Therapy
• Caitlin Lee Sprouse

• Pediatric Dentistry in Sparks, MD
• Providers in Sparks, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.