Provider Demographics
NPI:1235176603
Name:SPARACINO, FRANK CARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CARL
Last Name:SPARACINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8730 NORTHPARK BLVD
Mailing Address - Street 2:BUILDING 4, SUITE A
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9265
Mailing Address - Country:US
Mailing Address - Phone:843-553-5355
Mailing Address - Fax:843-797-1718
Practice Address - Street 1:8730 NORTHPARK BLVD
Practice Address - Street 2:BUILDING 4, SUITE A
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9265
Practice Address - Country:US
Practice Address - Phone:843-553-5355
Practice Address - Fax:843-797-1718
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC39601223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics