BEAU SPARKMAN D.D.S., P.A. (NPI# 1710442728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710442728 |
| Entity Type | Organization |
| Organization Name | BEAU SPARKMAN D.D.S., P.A. |
| Practice Address |
400 S 18th St Fort Smith AR 72901-3942 |
| Mailing Address |
104 W Ray Fine Blvd Unit 5 Roland OK 74954-5299 |
| Practice Telephone | 4797851419 |
| Practice Fax Number | 4797854390 |
| Mailing Telephone | 9185036262 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | BEAU E SPARKMAN (OWNER/DENTIST) |
| Authorized Official Telephone | 9185036262 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAU SPARKMAN, DDS, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Dental Care of Ft. Smith | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114292984 | Beau Sparkman D.d.s., P.a. | Dentist | 104 W Ray Fine Blvd, Suite 5, Roland, OK 74954-5289 | 2012-03-13 |
| Street Address |
400 S 18TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750390845 | James Boyd Saviers | Dentist | 400 S 18th St, Fort Smith, AR 72901-3942 | 2006-08-06 |
| 1760597249 | James B. Saviers D.d.s., P.a. | Dentist | 400 S 18th St, Fort Smith, AR 72901-3942 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598324220 | Riley Farm Dental & Braces, Pllc | Clinic/Center | 5901 Riley Park Dr., Suite Q, Fort Smith, AR 72916 | 2019-06-06 |
| 1225568157 | Aaron Simpson, Dds, Pllc | Clinic/Center | 1528 N 39th St, Fort Smith, AR 72904-6931 | 2017-06-13 |
| 1194326488 | Dental Central Sa Pllc | Clinic/Center | 1326 S Waldron Rd, Fort Smith, AR 72903-2556 | 2020-11-04 |
| 1346756103 | Borengasser Family Dental, Pllc | Clinic/Center | 3510 S 79th St Ste 100, Fort Smith, AR 72903-6250 | 2017-12-15 |
| 1780095646 | Dallas Street Dental | Clinic/Center | 8020 Dallas St, Fort Smith, AR 72903-4277 | 2014-05-14 |
| 1740615186 | George J Johnsonjr.d.d.s.,pa | Clinic/Center | 2420 S 51st Ct Ste A, Fort Smith, AR 72903-3669 | 2013-09-04 |
| 1679803738 | Smile Help Dental | Clinic/Center | 1501 S Waldron Rd, Suite 208, Fort Smith, AR 72903-2574 | 2010-01-12 |
| 1902068018 | Gilberto Lopez Dds Inc | Clinic/Center | 1021 S 21st St, Fort Smith, AR 72901-4007 | 2008-06-30 |
| 1952504615 | Richard A Staton Dds Pa | Clinic/Center | 2420 S 51st Ct, Suite B, Fort Smith, AR 72903-3669 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557539 | David M Robbins Dds | Clinic/Center | 241 Hobson Ave, Hot Springs, AR 71913-3724 | 2020-10-28 |
| 1710585856 | Frank A Brooks IIi Dds Pa | Clinic/Center | 2102 First National Dr, Harrison, AR 72601-6234 | 2020-10-12 |
| 1902412018 | Cave Springs Dental | Clinic/Center | 260 S Gleneagle Dr Ste C, Cave Springs, AR 72718-6011 | 2020-09-23 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1275143950 | Brad Wheelis Family Dentistry Pllc | Clinic/Center | 1218 East Main St, Melbourne, AR 72556 | 2020-08-06 |
| 1962012385 | Cynthia Landry Dds | Clinic/Center | 446 Miles St, Lepanto, AR 72354-2618 | 2020-08-01 |
| 1548878077 | Douglas M. Matthews,d.d.s.,p.a. | Clinic/Center | 350 E College St, Batesville, AR 72501-5624 | 2020-07-21 |
| 1407473481 | Simon Family Dentistry | Clinic/Center | 191 Highway 64 E, Alma, AR 72921-3306 | 2020-06-25 |
| 1912529504 | Dover Dental D.d.s., P.a. Dba Dover Family Dentistry | Clinic/Center | 400 S College St Ste 4, Mountain Home, AR 72653-3991 | 2020-05-18 |
| 1548881550 | Christi Weaver Shepard Dds, Pa | Clinic/Center | 4200 N Rodney Parham Rd Ste 200, Little Rock, AR 72212-2460 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on BEAU SPARKMAN D.D.S., P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.