Basile Orthodontics PA
NPI #1679618326 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1679618326
- Entity Type
- Organization
- Organization Name
- Basile Orthodontics PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BASILE ORTHODONTICS PA
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Feb 17, 2009
Practice Location
- Address
- 5116 GATEWAY STREET SE #103
- Address 2
- SUITE #103
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372
- Phone
- (952) 447-6088
Authorized Official
- Name
- DR. JOSEPH SAMUEL BASILE III, D.D.S.
- Title
- ORTHODONTIST
- Phone
- (952) 454-5345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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