Individual
SASSAN BASSIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
642 S MAIN ST, KING, NC 27021
(336) 983-0095
(336) 983-0588
Mailing address
PO BOX 1447, 642 S MAIN ST, 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
08/25/2006
Last updated
07/08/2007
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