NPI 1194939041

Basile Orthodontics PA

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Minnetonka, MN

Practice location

Address: 17809 Hutchins Drive Suite 101, Minnetonka, MN 55345
Phone: (952) 474-3203
Fax: (952) 474-3204

Authorised official

Name: Joseph Samuel Basile
Title: Orthodontist
Phone: (952) 474-3203

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence D10983 (MN)

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Registry record

NPI: 1194939041
Entity type: Organization
NPI issued: 10 May 2007
Record last updated: 17 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.