Bass, Lawrence D

Bass, Lawrence D is an sole proprietor health care provider with primary practice located at 1750 17Th St Ste N , Sarasota FL 34234-8690. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Bass, Lawrence D can be contacted via phone (941) 529-0200.

Contact Information

Primary practice address
1750 17Th St Ste N Sarasota FL 34234-8690
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 029410 New York
Dental Providers / Dentist 122300000X DN28443 Florida

Profile Details

NPI number 1659411445
LBN Legal business name Bass, Lawrence D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Mar 8th, 2024 - about last year

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 1659411445 NPPES
Florida MEDICAID DN28443

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