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NPI Code Detail

MEDICARE: ASHLEY ANN BASS

MEDICARE:   ASHLEY ANN BASS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistDH072662PA

General Provider Information

NPI Number : 1659104321
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ANN BASS
Provider Business Mailing Address
First Line : 44 E FAIRVIEW AVE
Second Line :
City : SELLERSVILLE
State : PA
Zip : 18960-2611
Country : US
Telephone Number : 267-450-3087
Fax Number :
Provider Business Practice Location Address
First Line : 2900 ISLAND AVE STE 2924
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19153-2028
Country : US
Telephone Number : 215-492-9291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 08/20/2024

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Directions to “ ASHLEY ANN BASS ” Practice Location

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