SAMANTHA SPARKS


Address: 222 Tongass Dr, Sitka, AK 99835-9416
Phone: 9076683439

SAMANTHA SPARKS (NPI# 1609345677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609345677
Entity Type Individual
Full Name SAMANTHA SPARKS
Credential DHAT
Practice Address 222 Tongass Dr
Sitka
AK 99835-9416
Practice Telephone 9076683439
Mailing Telephone 9076683439
Enumeration Date 2018-11-19
Last Update Date 2018-11-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist 18-152 AK Dental Providers

Other Providers SAMANTHA SPARKS

NPI Name Taxonomy Address Enumeration
1407375579 Samantha Sparks Physical Therapy Assistant 1100 Southfield Dr, Plainfield, IN 46168-4498 2017-09-11
1891158283 Samantha Sparks Pharmacist 107 Prince St, Americus, GA 31709-3643 2016-04-01
1548582562 Samantha Sparks Counselor 815 W 18th St, Merced, CA 95340-4604 2010-02-17

Office Location

Street Address 222 TONGASS DR
City SITKA
State AK
Zip Code 99835-9416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124018486 Jeanette Susan Berry Nurse Anesthetist, Certified Registered 222 Tongass Dr, Sitka, AK 99835-9416 2005-10-26
1164021523 Grant Verhagen Counselor 222 Tongass Dr, Sitka, AK 99835-9416 2020-10-18
1508464751 Izabella Zora Powers Counselor 222 Tongass Dr, Sitka, AK 99835-9416 2020-10-10
1417555665 Kevan Abra O'hanlon Counselor 222 Tongass Dr, Sitka, AK 99835-9416 2020-10-10
1992302590 Reed Andrew Carter Counselor 222 Tongass Dr, Sitka, AK 99835-9416 2020-10-06
1851901763 Nathan Riley Kraft Pharmacist 222 Tongass Dr, Sitka, AK 99835-9416 2020-08-05
1013532571 Gregory David Powell Counselor 222 Tongass Dr, Sitka, AK 99835-9416 2020-06-10
1477182434 Jasmine Leigh Esmay Registered Nurse 222 Tongass Dr, Sitka, AK 99835-9416 2020-04-02
1639709868 Kyle William Larson Behavior Technician 222 Tongass Dr, Sitka, AK 99835-9416 2020-01-15
1124668595 Nina Mueller Counselor 222 Tongass Dr, Sitka, AK 99835-9416 2020-01-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487268116 Rodney Ray Racaza Pharmacist 222 Tongass Drive Pharmacy, Sitka, AK 99835 2020-09-01
1003462052 Tiffany Marie Johnson Nurse's Aide 1209 Seward Ave., Sitka, AK 99835 2019-08-15
1841843794 Southeast Alaska Regional Health Consortium Community/Behavioral Health 1200 Seward Avenue, Sitka, AK 99835 2019-07-19
1992358840 Southeast Alaska Regional Health Consortium Community/Behavioral Health 1212 Seward Avenue, Sitka, AK 99835 2019-07-19
1154973857 Jeffrey Mossige Counselor Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 2019-07-12
1689194599 Heather Chandler Social Worker 113 Metlakatla Steet, Sitka, AK 99835 2017-06-21
1730548462 Southeast Alaska Regional Health Consortium Medicare Defined Swing Bed Unit 222 Tongass Blvd, Sitka, AK 99835 2016-02-23
1275967291 Debra R Wilson Registered Nurse 222 Tongass Airport Road, Sitka, AK 99835 2013-08-27
1700167830 Allison Richmond Allen Physical Therapy Assistant 12 Lifesaver Drive, Sitka, AK 99835 2011-09-02
1023336617 Hollie E Mulanax Community Health Worker 408 Lake Street #2, Sitka, AK 99835 2010-05-07
Find all providers in zip 99835

Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083251607 Tamija Katrice Woods Dental Therapist 4519 E 4th Ave, Anchorage, AK 99508-2216 2019-12-02
1538541693 Amanda Miles Dental Therapist 3449 E. Rezanof Drive, Dental Department, Kodiak, AK 99615-3449 2015-06-25
1205236692 Kimberly Baldwin Dental Therapist 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 2014-09-04
1205265345 Cora Roberts Dental Therapist 201 3rd Avenue, Suite 115, Seward, AK 99664 2013-11-08
1326654245 Kathrine G.d.a Levi Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2020-09-16
1790320513 Ruby Okitkun Dental Therapist 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2019-11-15
1336783075 Allison Kristi Wasuli Dental Therapist 733 2nd Avenue, Kotzebue, AK 99752 2019-11-06
1922579143 Janette Carmen Ulak Dental Therapist 49 Airport Rd, Hooper Bay Clinic, Hooper Bay, AK 99604 2018-12-16
1134696156 Shonna Wheeler Dental Therapist 100 Slocum Drive, King Cove, AK 99612 2018-10-29
1881160570 Leandra Beech Dental Therapist 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 2018-10-19
Find all providers with the same taxonomy

Competitor

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City SITKA
Zip Code 99835

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Dataset Information

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.

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