Timothy J. Bashara, Dmd, Plc in Gilbert - Pediatric Dentistry

Timothy J. Bashara, Dmd, Plc - NPI 1871707836

Timothy J. Bashara, Dmd, Plc is a Pediatric Dentistry in Gilbert, Arizona. Timothy J. Bashara, Dmd, Plc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Timothy J. Bashara, Dmd, Plc is 1871707836. The last update date is 2008-09-17.

Timothy J. Bashara, Dmd, Plc's current location address is 5656 S. Power Rd., Gilbert, Arizona. You can contact this provider via phone number 4809881879 and fax number 4809884690. The mailing address for Timothy J. Bashara, Dmd, Plc is 5656 S. Power Rd., Gilbert, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Timothy J. Bashara, Dmd, Plc
Address 5656 S. Power Rd., Gilbert, Arizona
Phone Number 4809881879
Fax Number 4809884690
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER, DEN
Authorized Official Name Bashara J Timothy
Credentials DMD
Telephone Number 4809881879

NPI Number Detail

NPI Number 1871707836
Provider Enumeration Date 2007-05-09
Last Updated Date 2008-09-17

Provider Mailing Address Detail

Address 5656 S. Power Rd.
City Gilbert
State Arizona (AZ)
Post Code 85295
Phone Number 4809881879
Fax Number 4809884690

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D5688
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
718794 AZ --
718794 AZ AHCCCS PROVIDER NUMBER

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FAQs about Timothy J. Bashara, Dmd, Plc

What is the Timothy J. Bashara, Dmd, Plc's unique identification number?

The Timothy J. Bashara, Dmd, Plc has been assigned the NPI (National Provider Identifier) Number 1871707836 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Timothy J. Bashara, Dmd, Plc's facilities are situated?

The facilities of Timothy J. Bashara, Dmd, Plc are physically located at the following address: 5656 S. Power Rd., Gilbert, AZ, 85295.

What is Timothy J. Bashara, Dmd, Plc's area of expertise and its corresponding taxonomy classification?

The Timothy J. Bashara, Dmd, Plc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.

On what date did the Timothy J. Bashara, Dmd, Plc receive its 1871707836 assignment from the Centers for Medicare & Medicaid Services?

The Timothy J. Bashara, Dmd, Plc was assigned its 1871707836 by the Centers for Medicare & Medicaid Services on 2007-05-09.

When was the information related to Timothy J. Bashara, Dmd, Plc most recently updated or refreshed?

The details pertaining to the Timothy J. Bashara, Dmd, Plc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-17.

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