Provider Demographics
NPI:1922209618
Name:DEBORAH H. SPARLING D.D.S., INC.
Entity Type:Organization
Organization Name:DEBORAH H. SPARLING D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-525-0955
Mailing Address - Street 1:116 BUENA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-9606
Mailing Address - Country:US
Mailing Address - Phone:501-525-0955
Mailing Address - Fax:501-525-1579
Practice Address - Street 1:116 BUENA VISTA RD
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-9606
Practice Address - Country:US
Practice Address - Phone:501-525-0955
Practice Address - Fax:501-525-1579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR23471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty