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General NPI Number Information
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NPI Number | 1124968755
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Entity Type | Organization
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Legal Business Name | AMRIT S BASI DMD CORP
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 436 W BEVERLY PL
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City | TRACY
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State | CA
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Zip | 95376-3011
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Country | US
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Telephone | 209-835-6487
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Fax | 209-835-2634
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Provider Business Mailing Address
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Address Line | 436 W BEVERLY PL
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City | TRACY
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State | CA
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Zip | 95376-3011
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Country | US
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Telephone | 209-835-6487
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Fax | 209-835-2634
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMRIT SINGH BASI
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Credential | DMD
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Telephone | 925-872-3174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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