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JOHN B BASSETT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
32 STILES RD, SUITE 210, SALEM, NH 03079-2892
(603) 893-8630
(603) 893-3697
Mailing address
32 STILES RD, SUITE 210, SALEM, NH 03079-2892
(603) 893-8630
(603) 893-3697

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
13215
MA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
1667
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00XR0062
BLUE SHEILD OF MA
MA
01
1001667
NORTHEAST DELTA DENTAL
NH
01
13328
BLUE SHIELD OF ME
ME
01
142502
UNITED CONCORDIA
NH
01
16309
HARVARD PILGRIM
MA
01
4264019
AETNA DENTAL
NH
01
6773217001
CIGNA
NH
01
703466
TUFTS MEDICAL
MA
01
8004012
UNITED HEALTHCARE
NH
05
89192010
NH
01
H003874
CHAMPUS
NH
Enumeration date
08/22/2005
Last updated
07/08/2007
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