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BEAU SPARKMAN D.D.S., P.A.
NPI 1114292984
Dentist - General Practice in Roland, OK

Active since March 13, 2012
104 W RAY FINE BLVD, SUITE 5, ROLAND, OK 74954(918) 503-6262 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beau Sparkman D.d.s., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAU SPARKMAN D.D.S., P.A. (NPI 1114292984) is a healthcare organization registered as a general practice in Roland, Oklahoma and active in the NPI registry since March 2012. The organization lists Beau Sparkman, President, as its authorized official.

NPPES Registry Identity

NPI1114292984
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEAU SPARKMAN D.D.S., P.A.
Location Address104 W RAY FINE BLVD, SUITE 5Roland, OK 74954-5289
Mailing Address104 W Ray Fine Blvd, Suite 5Roland, OK 74954-5289 · (918) 503-6262
Phone(918) 503-6262
Organization SubpartNo
Authorized OfficialBeau SparkmanPresident · (479) 739-4999
Enumeration DateMarch 13, 2012
✔ NPI 1114292984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OK · 6347
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
104 W RAY FINE BLVD, Roland, OK 74954
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Other Identifiers 1

Medicaid200343870AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEAU E SPARKMAN DDS
Dentist (General Practice)
104 W RAY FINE BLVD, STE. 5
ROLAND, OK 74954
Sequoyah County (918) 503-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beau Sparkman D.D.S., P.A.'s NPI number?

The NPI number for Beau Sparkman D.D.S., P.A. is 1114292984. It was assigned to this organization in the NPPES registry on March 13, 2012.

Where is Beau Sparkman D.D.S., P.A. located?

Beau Sparkman D.D.S., P.A. is located at 104 W Ray Fine Blvd Suite 5, Roland, OK 74954. The listed phone number is (918) 503-6262.

What is Beau Sparkman D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Beau Sparkman D.D.S., P.A. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Beau Sparkman D.D.S., P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beau Sparkman D.D.S., P.A. was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.