Individual
DR. JEFFREY L BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
108 S TOWNLINE RD, LAGRANGE, IN 46761-1740
(260) 463-3652
(260) 463-7096
Mailing address
108 S TOWNLINE RD, LAGRANGE, IN 46761-1740
(260) 463-3652
(260) 463-7096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008295
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159740-A
—
IN
Enumeration date
11/28/2006
Last updated
12/22/2016
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