Organization
SPARTAN DENTAL COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROBERT BORGHOLTHAUS (MANAGER)
(208) 590-0966
Entity
Organization
Contact information
Practice address
925 W AIRBASE RD, MOUNTAIN HOME, ID 83647-3319
(208) 590-0966
(208) 587-1906
Mailing address
925 W AIRBASE RD, MOUNTAIN HOME, ID 83647-3319
(208) 590-0966
(208) 587-1906
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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