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

Spark Dentistry PLLC

Organization General Practice Dentistry · NPI 1073234241

Spark Dentistry PLLC is a General Practice Dentistry in Prescott Valley, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7584 E State Route 69
Prescott Valley, AZ 86314-2278
Phone: (928) 499-3061
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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

Record details

NPI number1073234241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Park — Owner · (928) 499-3061
NPI enumeratedSeptember 7, 2022
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing addressPo Box 70887, Cleveland, OH 44190-0887

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