Sparkle Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21736 Issued in TX

Legal business name

SPARKLE DENTAL CENTER

Practice address

3330 Douglas Ave
Dallas, TX 75219-2717

Phone

(214) 780-0600

NPI assigned

Feb 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tuan NguyenNPI 1215912183

Title

President

Phone

(214) 780-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Life Dental Other name

Locations

Practitioners 2

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

• Tuan A Nguyen, DDS

  • General Practice Dentistry
  • Plano, TX
  • NPI 1215912183
  NPD Authorized official
• Kimberly Louie

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1740554161
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1700920188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DOUGLAS AVE STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192717",
            "telephone_number": "214-780-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 DOUGLAS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192717",
            "telephone_number": "214-780-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-780-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "21736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176281701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaymie Kathleen Spangler, MS,LPC-A
• Michael Gregory Spann, M.D.
• Jeffrey Edward Spapperi, D.C.
• Spark and Pivot LLC
• Spark Biomedical
• Sparkle Dental Center - Grand
• Sparkle Dental Center Associates PC
• Sparkle Dental Center at Ferguson PC
• Caroline Buckner Sparkman, MD
• Laura L Sparkman, LPC

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.