Organization
MICHAEL T. BASNETT DDSPC BASNETT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BASNETT DDS (DENTIST)
(573) 642-1210
Entity
Organization
Contact information
Practice address
101 E 6TH ST, FULTON, MO 65251-1943
(573) 642-1210
(573) 642-6139
Mailing address
101 E 6TH ST, FULTON, MO 65251-1943
(573) 642-1210
(573) 642-6139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MO
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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