Sparks Family Dentistry Llc in Sparks - Dentist
Sparks Family Dentistry Llc - NPI 1336264936
Sparks Family Dentistry Llc is a Dentist in Sparks, Nevada. Sparks Family Dentistry Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sparks Family Dentistry Llc is 1336264936. The last update date is 2020-08-22.
Sparks Family Dentistry Llc's current location address is 340 Pyramid Way, Sparks, Nevada. You can contact this provider via phone number 7753593336 and fax number 7753590755. The mailing address for Sparks Family Dentistry Llc is 340 Pyramid Way, Sparks, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sparks Family Dentistry Llc |
|---|---|
| Address | 340 Pyramid Way, Sparks, Nevada |
| Phone Number | 7753593336 |
| Fax Number | 7753590755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Basora Aj Thomas |
| Credentials | DDS |
| Telephone Number | 7753593337 |
NPI Number Detail
| NPI Number | 1336264936 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 340 Pyramid Way |
|---|---|
| City | Sparks |
| State | Nevada (NV) |
| Post Code | 89431 |
| Phone Number | 7753593336 |
| Fax Number | 7753590755 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4481 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4481 | NV | LIC # |
Post Comment/ Review Below
What is the Sparks Family Dentistry Llc's unique identification number?
The Sparks Family Dentistry Llc has been assigned the NPI (National Provider Identifier) Number 1336264936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Sparks Family Dentistry Llc's facilities are situated?
The facilities of Sparks Family Dentistry Llc are physically located at the following address: 340 Pyramid Way, Sparks, NV, 89431.
What is Sparks Family Dentistry Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sparks Family Dentistry Llc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336264936 to Sparks Family Dentistry Llc?
The Sparks Family Dentistry Llc received its 1336264936 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information related to Sparks Family Dentistry Llc most recently updated or refreshed?
The details pertaining to the Sparks Family Dentistry Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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