Individual
MERRILL BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2316 DELL RANGE BLVD, CHEYENNE, WY 82009-5191
(720) 670-0798
Mailing address
2316 DELL RANGE BLVD, CHEYENNE, WY 82009-5191
(720) 670-0798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1270
WY
1223G0001X
General Practice Dentistry
Primary
DEN-9948
CO
Other
Enumeration date
06/16/2009
Last updated
05/27/2016
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