Leslie Reene Basse in Thermopolis - General Practice

Leslie Reene Basse - NPI 1780700203

Leslie Reene Basse is a General Practice in Thermopolis, . Leslie Reene Basse practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leslie Reene Basse is 1780700203. The last update date is 2007-07-09.

Leslie Reene Basse's current location address is 517 S 9th St, Thermopolis, . You can contact this provider via phone number 3078642653. The mailing address for Leslie Reene Basse is 517 S 9th St, Thermopolis, . To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Reene Basse
Address 517 S 9th St, Thermopolis,
Phone Number 3078642653
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1780700203
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 517 S 9th St
City Thermopolis
State (WY)
Post Code 824433046
Phone Number 3078642653
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 876
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
301685 WY BLUE CROSS BLUE SHIELD

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FAQs about Leslie Reene Basse

What is the Leslie Reene Basse's 1780700203?

The Leslie Reene Basse's NPI (National Provider Identifier) Number is 1780700203. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Leslie Reene Basse's facilities are situated?

The facilities of Leslie Reene Basse are physically located at the following address: 517 S 9Th St, Thermopolis, WY, 824433046.

What is the Leslie Reene Basse's specialty and taxonomy code?

The Leslie Reene Basse's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did Leslie Reene Basse receive its 1780700203 assignment from the Centers for Medicare & Medicaid Services?

The Leslie Reene Basse was assigned its 1780700203 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Leslie Reene Basse last refreshed?

The information related to the Leslie Reene Basse, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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