Organization
SPARKS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS AJ BASORA DDS (MANAGER)
(775) 359-3337
Entity
Organization
Contact information
Practice address
340 PYRAMID WAY, SPARKS, NV 89431
(775) 359-3336
(775) 359-0755
Mailing address
340 PYRAMID WAY, SPARKS, NV 89431
(775) 359-3336
(775) 359-0755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4481
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4481
LIC #
NV
Enumeration date
03/20/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us