Robert W Bassham DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT W BASSHAM DDS PA

Practice address

669 Addison Dr
Wynne, AR 72396-1602

Phone

(870) 238-7570

Fax

(870) 238-1208

NPI assigned

Jul 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Holly Gene Bassham

Title

Office Manager

Phone

(870) 238-7570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Walton Bassham, DDS

  • Dentist
  • Wynne, AR
  • NPI 1770655185
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1790394393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 ADDISON DR",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961602",
            "telephone_number": "870-238-7570",
            "fax_number": "870-238-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 ADDISON DR",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961602",
            "telephone_number": "870-238-7570",
            "fax_number": "870-238-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W BASSHAM DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "BASSHAM",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-238-7570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridge Dental Group PLLC (Ridge Dental and Aesthetics)
• Marian P. Ritchie, SLP
• William Ritchie
• Lauren Rebecca Roach, PHARM D
• Patches L Robb, FNP-C
• Ebony Danielle Robinson Smith
• Octavia Robinson, LAT, ATC
• Stephen Rohrer, CNP
• Taylor Scott Runsick, PTA
• Angela Saldana

• General Practice Dentistry in Wynne, AR
• Providers in Wynne, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.