A.T. Bassiri, D.D.S., P.A.
Dentist in Fayetteville, NC. Organization (NPI-2).
NPI number1003086174
StatusActive
Last updated in NPPESOct 29, 2014
Details
- NPI
- 1003086174
- Entity type
- Organization (NPI-2)
- Legal business name
- A.T. Bassiri, D.D.S., P.A.
- Organization subpart
- No
- Enumeration date
- Mar 5, 2008
- Last updated
- Oct 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6315 | NC | Yes |
Other names
- Pine Valley Family Dentistry (Doing Business As)
Practice location
1661 Owen DrFayetteville, NC 28304-3425
Phone 910-485-2273 · Fax 910-485-0772
Mailing address
1661 Owen DrFayetteville, NC 28304-3425
Phone 910-485-2273 · Fax 910-485-0772
Authorized official
Kirsten Toi Inman
Office Manager
9104252273
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