Robert W Basalla in Berea - General Practice
Robert W Basalla - NPI 1073631065
Robert W Basalla is a General Practice in Berea, Ohio. Robert W Basalla practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert W Basalla is 1073631065. The last update date is 2007-07-08.
Robert W Basalla's current location address is 347 Front Street, Berea, Ohio. You can contact this provider via phone number 4402432600. The mailing address for Robert W Basalla is 347 Front Street, Berea, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert W Basalla |
|---|---|
| Address | 347 Front Street, Berea, Ohio |
| Phone Number | 4402432600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073631065 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 347 Front Street |
|---|---|
| City | Berea |
| State | Ohio (OH) |
| Post Code | 44017 |
| Phone Number | 4402432600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 30016665 |
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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. |
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What is the unique 10-digit identifier code assigned to Robert W Basalla by the Centers for Medicare & Medicaid Services?
The Robert W Basalla has been issued the NPI (National Provider Identifier) 1073631065 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Robert W Basalla?
The Robert W Basalla is physically situated at 347 Front Street, in the city of Berea, state of OH, with the postal code 44017.
What is Robert W Basalla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert W Basalla is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073631065 to Robert W Basalla?
The Robert W Basalla received its 1073631065 assignment from the Centers for Medicare & Medicaid Services on 2007-03-27.
When was the information related to Robert W Basalla most recently updated or refreshed?
The details pertaining to the Robert W Basalla, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.