Bashara, Timothy J
Bashara, Timothy J is an sole proprietor health care provider with primary practice located at 5656 S. Power Rd. Ste. 118, Gilbert AZ 85295. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bashara, Timothy J can be contacted via phone (480) 988-1879.Contact Information
Primary practice address
5656 S. Power Rd. Ste. 118
Gilbert AZ 85295
Phone: (480) 988-1879
Fax: (480) 988-4690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D5688 | Arizona |
Profile Details
| NPI number | 1285753574 |
|---|---|
| LBN Legal business name | Bashara, Timothy J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Sep 17th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285753574 | NPPES |
| Arizona | MEDICAID | 718794 |
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