Sparkle Dental Center - Grand

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21736 Issued in TX

Legal business name

SPARKLE DENTAL CENTER - GRAND

Practice address

5429 E Grand Ave
Dallas, TX 75223-1914

Phone

(214) 342-9600

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tuan Anh Nguyen

Title

President

Phone

(469) 831-0890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1609183912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 E GRAND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752231914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 E GRAND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752231914",
            "telephone_number": "214-342-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE DENTAL CENTER - GRAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-831-0890"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gregory Spann, M.D.
• Jeffrey Edward Spapperi, D.C.
• Spark and Pivot LLC (Spark and Pivot Counseling)
• Spark Biomedical
• Sparkle Dental Center
• Sparkle Dental Center Associates PC
• Sparkle Dental Center at Ferguson PC
• Caroline Buckner Sparkman, MD
• Laura L Sparkman, LPC
• Tonya Mae Sparks

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.