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JORDAN SAMUEL SPARKS D.M.D.
NPI 1679608723
Dentist - General Practice in Salem, OR

Active since February 22, 2007
3265 MARIETTA ST SE, SALEM, OR 97317(503) 910-0557 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Samuel Sparks D.m.d. NPPES

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

JORDAN SAMUEL SPARKS D.M.D. (NPI 1679608723) is an individual general practice provider in Salem, Oregon, licensed in Oregon (D7601) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1679608723
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJORDAN SAMUEL SPARKSCredential: D.M.D.
Location Address3265 MARIETTA ST SESalem, OR 97317-9402
Mailing Address3265 Marietta St SeSalem, OR 97317-9402 · (503) 910-0557
Phone(503) 910-0557
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1679608723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D7601
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.
3265 MARIETTA ST SE, Salem, OR 97317
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Other Providers at the Same Location NPPES

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

ANDREW MCKENZIE MD, PHD
Psychiatry & Neurology (Psychiatry)
3265 MARIETTA ST SE
SALEM, OR 97317
Marion County (503) 583-8367

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 Jordan Sparks's NPI number?

The NPI number for Jordan Sparks is 1679608723. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Jordan Sparks located?

Jordan Sparks practices at 3265 Marietta St SE, Salem, OR 97317. The listed phone number is (503) 910-0557.

What is Jordan Sparks's specialty?

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

When was this NPI record last updated?

The NPPES record for Jordan Sparks was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.