DR. Robert Walton Bassham, DDS

NPI #1770655185 in Wynne, Arkansas

Provider Information

NPI Number: 1770655185
Entity Type: Individual
Name: DR. Robert Walton Bassham, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 669 ADDISON DRIVE
City: Wynne
State: Arkansas
ZIP Code: 72396
Phone: (870) 238-7570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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