Individual
BRUCE MARTIN BASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10074 ST RT 54, WHITESVILLE, KY 42378
(270) 233-4551
(270) 233-4209
Mailing address
PO BOX 107, HARTFORD, KY 42347
(270) 298-7534
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5856
KY
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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