Sparks Family Dentistry Llc

LBN: Sparks Family Dentistry Llc
Sparks Family Dentistry Llc is an health care organization with primary practice located at 340 Pyramid Way , Sparks NV 89431. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sparks Family Dentistry Llc can be contacted via phone (775) 359-3336, or through Basora, Thomas Aj via phone (775) 359-3337.

Contact Information

Primary practice address
340 Pyramid Way Sparks NV 89431
Fax: (775) 359-0755
Website:
Authorized official contact:
Name: Basora, Thomas Aj Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4481 Nevada

Profile Details

NPI number 1336264936
LBN Legal business name Sparks Family Dentistry Llc
DBA Doing business as
Authorized official Basora, Thomas Aj Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336264936 NPPES
Nevada Other 4481 LIC #

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