| Robert W Bassham Dds Pa | |
|
669 Addison Dr Wynne AR 72396-1602 | |
| (870) 238-7570 | |
| (870) 238-1208 |
| Full Name | Robert W Bassham Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 669 Addison Dr, Wynne, Arkansas |
| Authorized Official Name and Position | Holly Gene Bassham (OFFICE MANAGER) |
| Authorized Official Contact | 8702387570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Bassham Dds Pa 669 Addison Dr Wynne AR 72396-1602 Ph: (870) 238-7570 | Robert W Bassham Dds Pa 669 Addison Dr Wynne AR 72396-1602 Ph: (870) 238-7570 |
| NPI Number | 1790394393 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790394393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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