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SPARK DENTAL LLC
NPI 1760221386
Dentist - General Practice in Hagerstown, MD

Active since May 22, 2024
18077 GARLAND GROH BLVD, HAGERSTOWN, MD 21740(301) 888-8555 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Spark Dental Llc NPPES

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

SPARK DENTAL LLC (NPI 1760221386) is a healthcare organization registered as a general practice in Hagerstown, Maryland and active in the NPI registry since May 2024. The organization lists Madhu Venkata Rama Raju Nadimpalli, General Dentist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1760221386
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSPARK DENTAL LLC
Location Address18077 GARLAND GROH BLVDHagerstown, MD 21740-2064
Mailing Address12233 Hayland Farm WayEllicott City, MD 21042-6027 · (201) 257-7095
Phone(301) 888-8555
Organization SubpartNo
Authorized OfficialMadhu Venkata Rama Raju NadimpalliGeneral Dentist/ Owner · (201) 257-7095
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1760221386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
18077 GARLAND GROH BLVD, Hagerstown, MD 21740
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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

Other Providers at the Same Location NPPES 2

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

ACADIA DENTAL OF FREDERICK
Dentist (General Practice)
18077 GARLAND GROH BLVD
HAGERSTOWN, MD 21740
Washington County (301) 797-2538
ACADIA DENTAL MANAGEMENT, LLC
Dentist
18077 GARLAND GROH BLVD
HAGERSTOWN, MD 21740
Washington County (301) 797-2538

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 Spark Dental LLC's NPI number?

The NPI number for Spark Dental LLC is 1760221386. It was assigned to this organization in the NPPES registry on May 22, 2024.

Where is Spark Dental LLC located?

Spark Dental LLC is located at 18077 Garland Groh Blvd, Hagerstown, MD 21740. The listed phone number is (301) 888-8555.

What is Spark Dental LLC'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 Spark Dental LLC was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.