Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beau Sparkman DDS, PA

Organization General Practice Dentistry · NPI 1114292984

Beau Sparkman DDS, PA is a General Practice Dentistry in Roland, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2012.

Licensed in
OK
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 W Ray Fine Blvd Ste 5
Roland, OK 74954-5289
Phone: (918) 503-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6347 (OK)

Record details

NPI number1114292984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beau Sparkman — President · (479) 739-4999
NPI enumeratedMarch 13, 2012
Last updated in NPPESMarch 13, 2012
Mailing address104 W Ray Fine Blvd, Suite 5, Roland, OK 74954-5289

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