# ALICE BASSANI, DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Media Dental Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629814231
- **Authorized official:** DR. ALICE BASSANI DMD (OWNER DENTIST)
- **Authorized official phone:** (610) 357-6353

## Contact information

- **Practice address:** 23 E SECOND ST, MEDIA, PA 19063-2905
- **Practice address phone:** (610) 566-1016
- **Mailing address:** 23 E SECOND ST, MEDIA, PA 19063-2905
- **Mailing address phone:** (610) 566-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2024
- **Last updated:** 07/02/2024