Individual provider · Type 1 NPI

Jordan Samuel Sparks, DMD

General Practice Dentistry · Salem, OR

NPI number 1679608723 Active

About NPI 1679608723

Jordan Samuel Sparks, DMD's National Provider Identifier is 1679608723, issued on Feb 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salem, OR. The record was last updated on May 24, 2023.