OrganizationActive
Spark Dentistry PLLC
NPI 1073234241 · General Practice Dentistry · Prescott Valley, AZ
Spark Dentistry PLLC is a General Practice Dentistry organization in Prescott Valley, AZ (NPI 1073234241).
Provider details
- NPI number
- 1073234241
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Simon Park, Owner(928) 499-3061
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7584 E State Route 69
Prescott Valley, AZ 86314-2278
Phone: (928) 499-3061
Street-level locationGet directions
Mailing address
Po Box 70887
Cleveland, OH 44190-0887
Registry dates
- Enumerated
- 2022-09-07
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Frequently asked questions
- What is Spark Dentistry PLLC's NPI number?
- Spark Dentistry PLLC's National Provider Identifier (NPI) is 1073234241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spark Dentistry PLLC?
- Spark Dentistry PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Spark Dentistry PLLC located?
- Spark Dentistry PLLC's practice location on file with NPPES is 7584 E State Route 69, Prescott Valley, AZ 86314-2278.
- What is Spark Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Spark Dentistry PLLC is (928) 499-3061.
- Who is the authorized official for Spark Dentistry PLLC?
- The authorized official listed on Spark Dentistry PLLC's NPPES record is Simon Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spark Dentistry PLLC's NPI active?
- Yes — Spark Dentistry PLLC's NPI (1073234241) is active in the NPPES registry as of the last update on 2023-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.