Basham, Laurence Anthony

Basham, Laurence Anthony is an sole proprietor health care provider with primary practice located at 122 S Patterson Ave. #107 , Santa Barbara CA 93111. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Basham, Laurence Anthony can be contacted via phone (805) 967-0272.

Contact Information

Primary practice address
122 S Patterson Ave. #107 Santa Barbara CA 93111
Phone: (805) 967-0272
Fax: (805) 967-8997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22778 California
Dental Providers / General Practice 1223G0001X 22778 California

Profile Details

NPI number 1790786077
LBN Legal business name Basham, Laurence Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Jan 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790786077 NPPES
California Other 22620926 EMPLOYER NUMBER

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