Healthcare Provider Details

I. General information

NPI: 1497974257
Provider Name (Legal Business Name): JOHN B. BASSETT, DMD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 STILES RD SUITE 210
SALEM NH
03079-2892
US

IV. Provider business mailing address

32 STILES RD SUITE 210
SALEM NH
03079-2892
US

V. Phone/Fax

Practice location:
  • Phone: 603-893-8630
  • Fax: 603-893-3697
Mailing address:
  • Phone: 603-893-8630
  • Fax: 603-893-3697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number StateNH

VIII. Authorized Official

Name: DR. JOHN B BASSETT
Title or Position: ORAL AND MAXILLOFACIAL SURGEON
Credential: DMD
Phone: 603-893-8630