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

Daniel Paul Sparks

Individual provider Independent Duty Corpsman · NPI 1336919216

Daniel Paul Sparks is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

39 Broad Street Ext
Groton, CT 06340-3746
Phone: (623) 297-7438
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1336919216
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address39 Broad Street Ext, Groton, CT 06340-3746

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