Organization
BASSETT DENTISTRY LLC
Active
Other names
Show Me Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BASSETT DDS (OWNER/PARTNER)
(573) 756-1236
Entity
Organization
Contact information
Practice address
19 S FRANKLIN ST, FARMINGTON, MO 63640-2503
(573) 756-1236
(573) 756-7660
Mailing address
19 S FRANKLIN ST, FARMINGTON, MO 63640-2503
(573) 756-1236
(573) 756-7660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LC1138006
MO
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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