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Bassett Dental Services LLC

Organization Active NPI General Practice Dentistry · Demopolis, AL

NPI 1447400486 · NPPES record last updated Sep 26, 2013

Key facts

NPI
1447400486
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4216 (AL)
Legal business name
BASSETT DENTAL SERVICES LLC
Practice address
901 S Cedar Ave
Demopolis, AL 36732-3327
Phone
(334) 289-9978
Fax
(334) 289-6078
NPI assigned
Sep 26, 2008
Organization subpart
No

Authorized official

Name
Rita Rox Chatman
Title
Office Manager
Phone
(205) 481-4825

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

901 S Cedar Ave
Demopolis, AL 36732
Phone (334) 289-9978

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X 4216 AL Yes

Addresses

Primary practice location

901 S Cedar Ave
Demopolis, AL 36732-3327

Mailing address

PO Box 427
Demopolis, AL 36732-0427
Phone (334) 289-9978

Other identifiers

IdentifierTypeStateIssuer
92405OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
008804910MedicaidAL
851148OtherALTRICARE

Other names

  • BASSETT DENTAL SERVICES LLC Doing business as

Other providers in Demopolis, AL

All providers in Demopolis, AL · General Practice Dentistry in Alabama

Sources for this page

Verify at the official NPI Registry.