Bass, Russell King
Bass, Russell King is an individual health care provider with primary practice located at 220 S Denton Tap Rd Ste 101, Coppell TX 75019-5098. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bass, Russell King can be contacted via phone (972) 393-6880.Contact Information
Primary practice address
220 S Denton Tap Rd Ste 101
Coppell TX 75019-5098
Phone: (972) 393-6880
Fax: (972) 304-9341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 14604 | Texas |
Profile Details
| NPI number | 1134121288 |
|---|---|
| LBN Legal business name | Bass, Russell King |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| 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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