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

BASSILLEANN P.A.

Active Organization

BASSILLEANN P.A. is a General Dentistry organization located in CLEARWATER, Minnesota. NPI 1962684696 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CLEARWATER, MN

Registration Details

NPI Number
1962684696
Provider Type
Organization
NPI Issued
Dec 5, 2007 (18.725017021556 yrs)
Last Updated
Dec 5, 2007
License
11975 (MN)

Practice Information

Address
505 N. WALNUT STREET
CLEARWATER, MN, 55320
Browse MN providers · Browse ZIP 55320
Phone
3205586810
Fax
3205586006
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.