Plum Tree Dental
Plum Tree Dental is a healthcare organization registered as General Practice Dentistry in Virginia, MN, holding Type 2 (organization) NPI 1093607764 since 2025. The authorized official on file is Clarissa Sparkman, Owner/Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093607764 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Plum Tree Dental |
| Practice address | 202 S 5TH AVE, Virginia, MN, 55792 |
| Phone | 2187491776 |
| Fax | 2187490866 |
| Enumeration date | 2025-07-17 |
| Last updated in NPPES | 2025-07-17 |
Authorized official
| Name | Clarissa Sparkman |
|---|---|
| Title | Owner/Dentist |
| Phone | 2187491776 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Plum Tree Dental NPI: 1093607764 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 202 S 5TH AVE, Virginia, MN, 55792
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184666448 | Cameron Jayson | Individual | Dentist | Virginia, MN |
Verify this record
Cross-check NPI 1093607764 against the authoritative CMS record: view Plum Tree Dental on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Plum Tree Dental located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-17.