Organization
S. BASSIRI DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASSAN BASSIRI DDS (DENTIST)
(336) 983-0095
Entity
Organization
Contact information
Practice address
642 S MAIN ST, KING, NC 27021-9016
(336) 983-0095
(336) 983-0588
Mailing address
642 S. MAIN ST., P.O. BOX 1447, KING, NC 27021
(336) 983-0095
(336) 983-0588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7705
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902NU
—
NC
Enumeration date
02/26/2008
Last updated
06/18/2008
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