Bass, Barry David

Bass, Barry David is an individual health care provider with primary practice located at 1181 Old Country Rd Suite 4, Plainview NY 11803-5018. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bass, Barry David can be contacted via phone (516) 822-7880.

Contact Information

Primary practice address
1181 Old Country Rd Suite 4 Plainview NY 11803-5018
Phone: (516) 822-7880
Fax: (516) 822-5010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 037634 New York

Profile Details

NPI number 1528077997
LBN Legal business name Bass, Barry David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528077997 NPPES
New York MEDICAID 00950849

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