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Dr. Basit G. Nisbeth, DDS

Dentist in Homewood, IL. Individual provider (NPI-1).

NPI number1265663157
StatusActive
Last updated in NPPESMay 1, 2025

Details

NPI
1265663157
Entity type
Individual (NPI-1)
Name
Dr. Basit G. Nisbeth
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 27, 2009
Certification date
May 1, 2025
Last updated
May 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019-022628ILYes
1223G0001X Dentist, General Practice019-022628IL

Practice location

2421 183rd St
Homewood, IL 60430-3120

Phone 708-917-5041 · Fax 708-365-6184

Mailing address

18430 S Halsted St
Glenwood, IL 60425-1013

Phone 708-755-7605 · Fax 708-755-7616

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Other Dentist providers in Homewood, IL

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