Organization
MICHAEL E. BASS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E BASS DDS (PRESIDENT)
(919) 362-6789
Entity
Organization
Contact information
Practice address
1031 W WILLIAMS ST STE 101, APEX, NC 27502
(919) 362-6789
Mailing address
1031 W WILLIAMS ST STE 101, APEX, NC 27502-3955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7106
NC
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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