Individual
ALLISON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
540 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-1101
(803) 279-9346
(803) 279-9000
Mailing address
540 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-1101
(803) 279-9346
(803) 279-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10188
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003853482
GROUP NPI
—
Enumeration date
06/01/2022
Last updated
06/01/2022
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