David a. Baasch, DDS, PC
Organization Active NPI Dentist · Wallingford, VT
NPI 1700089992 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1700089992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 0000896 (VT)
- Legal business name
- DAVID A. BAASCH, DDS, PC
- Practice address
- 42 N Main St
Wallingford, VT 05773-9547 - Phone
- (802) 446-2770
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. David A. Baasch, D.D.S.
- Title
- President
- Phone
- (802) 446-2770
Practitioners 1
-
David Baasch, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 0000896 | VT | Yes |
Addresses
Primary practice location
42 N Main St
Wallingford, VT 05773-9547
Mailing address
42 N Main St
Wallingford, VT 05773-9547
Phone (802) 446-2770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002464 | Medicaid | VT |
Other providers in Wallingford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.