Organization · Type 2 NPI

Gumcare and Implant Specialists LLC - Dr. Basta

Periodontics · Canton, OH

NPI number 1457186876 Active

Practice location

4410 Executive Cir NW # A
Canton, OH 44718-2983

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1457186876

Gumcare and Implant Specialists LLC - Dr. Basta's National Provider Identifier is 1457186876, issued on Sep 5, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Canton, OH. The record was last updated on Sep 5, 2024.