Michael T. Basnett Ddspc Basnett Family Dentistry

NPI #1891240487 in Fulton, Missouri

Provider Information

NPI Number: 1891240487
Entity Type: Organization
Organization Name: Michael T. Basnett Ddspc Basnett Family Dentistry
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2016
Last Updated: Aug 24, 2016

Practice Location

Address: 101 E 6TH ST
City: Fulton
State: Missouri
ZIP Code: 65251-1943
Phone: (573) 642-1210

Authorized Official

Name: MICHAEL T BASNETT, DDS
Title: DENTIST
Phone: (573) 642-1210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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