Basile Orthodontics Pa in Prior Lake - Orthodontics And Dentofacial Orthopedics

Basile Orthodontics Pa - NPI 1679618326

Basile Orthodontics Pa is a Orthodontics And Dentofacial Orthopedics in Prior Lake, Minnesota. Basile Orthodontics Pa practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Basile Orthodontics Pa is 1679618326. The last update date is 2009-02-17.

Basile Orthodontics Pa's current location address is 5116 Gateway St. S.e., Prior Lake, Minnesota. You can contact this provider via phone number 9524476088 and fax number 9524476099. The mailing address for Basile Orthodontics Pa is 5116 Gateway St. S.e., Prior Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Basile Orthodontics Pa
Address 5116 Gateway St. S.e., Prior Lake, Minnesota
Phone Number 9524476088
Fax Number 9524476099
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ORTHODONTI
Authorized Official Name Basile Samuel Joseph
Credentials D.D.S.
Telephone Number 9524545345

NPI Number Detail

NPI Number 1679618326
Provider Enumeration Date 2007-02-20
Last Updated Date 2009-02-17

Provider Mailing Address Detail

Address 5116 Gateway St. S.e.
City Prior Lake
State Minnesota (MN)
Post Code 55372
Phone Number 9524476088
Fax Number 9524476099

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No MN10983
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Basile Orthodontics Pa

What is the unique identification code assigned to Basile Orthodontics Pa by the Centers for Medicare & Medicaid Services?

The Basile Orthodontics Pa has been issued the NPI (National Provider Identifier) 1679618326. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Basile Orthodontics Pa is geographically located?

The Basile Orthodontics Pa is physically situated at the following location: 5116 Gateway St. S.E., Prior Lake, MN, 55372.

What is Basile Orthodontics Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Basile Orthodontics Pa is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.

When did Basile Orthodontics Pa receive its 1679618326 assignment?

The Basile Orthodontics Pa was assigned its 1679618326 on 2007-02-20, which is the date when this unique identifier was issued to the organization.

When was the information related to Basile Orthodontics Pa most recently updated or refreshed?

The details pertaining to the Basile Orthodontics Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-02-17.

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