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

Jordan Samuel Sparks, DMD

Individual provider General Practice Dentistry · NPI 1679608723

Jordan Samuel Sparks, DMD is a General Practice Dentistry in Salem, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3265 Marietta St SE
Salem, OR 97317-9402
Phone: (503) 910-0557
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7601 (OR)

Record details

NPI number1679608723
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 22, 2007
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Other providers in Salem