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

DR. THOMAS LUKE BASHAW, D.D.S.

Active Sole Proprietor

Dentist · ELK RIVER, MN

Registration Details

NPI Number
1922065416
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2006 (19.983647203874 yrs)
Last Updated
Aug 19, 2014
License
D09824 (MN)
Sole Proprietor
Yes

Practice Information

Address
710 DODGE AVE NW
SUITE B
ELK RIVER, MN, 553302019
Browse MN providers · Browse ZIP 55330
Phone
7634413922
Primary Specialty
Dentist
122300000X

Other Dentist Providers in ELK RIVER, MN

Name Credential NPI
DR. THOMAS JOHN HICKEY DDS 1326039421
DR. ALLISON ELAINE ILSTRUP DDS 1831272277
MRS. JULIE WALLACE DDS 1811068778
MRS. LORI LINN-ORN DDS 1912078874
MR. DAVID JAMES TRUCHON DDS 1982775839
MR. JEROME RAYMOND NYBERG DDS 1407927353
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.