MICHAEL C SPARKS (NPI# 1407141807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407141807 |
| Entity Type | Individual |
| Full Name | MICHAEL C SPARKS |
| Credential | D.M.D. |
| Practice Address |
1836 Broadway St Paducah KY 42001-2708 |
| Practice Telephone | 2704420256 |
| Practice Fax Number | 2704428730 |
| Mailing Telephone | 2704420256 |
| Mailing Fax Number | 2704428730 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2014-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9016 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267656 | Michael Sparks | Peer Specialist | 108 Castro St, Norman, OK 73069-5902 | 2017-04-03 |
| 1558821736 | Michael Sparks | Anesthesiology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2019-03-22 |
| 1124549803 | Michael Andrew Sparks | Family Medicine | 1000 Executive Dr Ste 9, Oviedo, FL 32765-8140 | 2017-07-03 |
| 1063732246 | Michael Sparks | Technician, Other | 3367 Hwy 119, Mayking, KY 41837 | 2010-06-10 |
| 1831241645 | Michael S Sparks | Dentist | 10425 Montgomery Pkwy Ne, Albuquerque, NM 87111-3864 | 2007-01-18 |
| 1295829307 | Michael Lynn Sparks | Social Worker | 36000 Darnall Loop, Carl R Darnall Army Medical Center, Fort Hood, TX 76544 | 2006-10-03 |
| 1023044930 | Michael B Sparks | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-06-23 |
| Street Address |
1836 BROADWAY ST |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922010974 | Charles Joseph Bohle Jr. | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2006-08-11 |
| 1851830723 | Ky Dental Professionals II Psc | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2017-02-13 |
| 1538601943 | Ky Dental Professionals Psc | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2016-11-16 |
| 1861844649 | Roy Thomas Bolin II | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2016-07-06 |
| 1851775910 | James Williams | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2015-07-17 |
| 1003135534 | Bohle Family Dentistry, Psc | Clinic/Center | 1836 Broadway St, Paducah, KY 42001-2708 | 2010-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689024465 | Smile Station Family Dentistry, LLC | Dentist | 5504 Reidland Rd, Paducah, KY 42003-0955 | 2016-06-13 |
| 1619176724 | Stephen Earl Clymer | Dentist | 250 Lone Oak Rd Ste B, Paducah, KY 42001-4400 | 2007-07-17 |
| 1952506404 | Thomas Nathan Bowles | Dentist | 2850 Lone Oak Rd., Paducah, KY 42003 | 2007-06-15 |
| 1457427460 | Francis D Abell Dmd | Dentist | 4975 Alben Barkley Drive, Suite 3, Paducah, KY 42001 | 2006-11-28 |
| 1083787386 | Brian Tory Heine | Dentist | 2850 Lone Oak Rd Ste #6, Paducah, KY 42003-8043 | 2006-11-16 |
| 1629156005 | Robert Donald Heine | Dentist | 2850 Lone Oak Rd Ste #5, Paducah, KY 42003-8043 | 2006-11-01 |
| 1922010974 | Charles Joseph Bohle Jr. | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2006-08-11 |
| 1295740926 | Paducah Pediatric Dentistry Psc | Dentist | 2850 Lone Oak Rd, Suite 1, Paducah, KY 42003-8043 | 2006-07-30 |
| 1851830723 | Ky Dental Professionals II Psc | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2017-02-13 |
| 1538601943 | Ky Dental Professionals Psc | Dentist | 1836 Broadway St, Paducah, KY 42001-2708 | 2016-11-16 |
| Find all providers in PADUCAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.