Individual
DR. LAWRENCE D BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1750 17TH ST STE N, SARASOTA, FL 34234-8690
(941) 529-0200
Mailing address
1750 17TH ST STE N, SARASOTA, FL 34234-8690
(941) 529-0200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28443
FL
1223G0001X
General Practice Dentistry
029410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DN28443
—
FL
Enumeration date
02/08/2007
Last updated
03/08/2024
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