DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL JOHN BASISTA, D.D.S.

Active Sole Proprietor

DR. MICHAEL JOHN BASISTA, D.D.S. is a Dentist healthcare provider located in FORT MYERS, Florida. NPI 1780944629 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT MYERS, FL

Registration Details

NPI Number
1780944629
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2012 (14.250315879274 yrs)
Last Updated
May 25, 2012
License
DN6721 (FL)
Sole Proprietor
Yes

Practice Information

Address
2454 WINKLER AVE.
FORT MYERS, FL, 339019266
Browse FL providers · Browse ZIP 33901
Phone
2399363866
Fax
2399395098
Primary Specialty
Dentist
122300000X

Other Dentist Providers in FORT MYERS, FL

Name Credential NPI
DR. GERALD MARC JOSEPHSON D.M.D. 1184684615
DR. BEN LEWIS D.D.S. 1891746855
DR. RICHARD W. PLUMMER DMD 1619987989
DR. JAREN ORR CATLIN DMD 1942315262
MR. RON TILLITZKY HILL DMD 1235245523
MR. PAUL GREGORY GRUMBACH DDS 1184736688
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.