Organization · Type 2 NPI
Bassilleann P.a.
General Practice Dentistry · Clearwater, MN
NPI number
1962684696
Active
Practice location
505 N. Walnut Street
Clearwater, MN 55320
Fax (320) 558-6006
Mailing address
PO Box 187
Clearwater, MN 55320-0187
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 11975 (MN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1962684696
Bassilleann P.a.'s National Provider Identifier is 1962684696, issued on Dec 5, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Clearwater, MN. The record was last updated on Dec 5, 2007.