A.T. Bassiri, D.D.S., P.A.
Dentist, General Practice in Fayetteville, NC. Organization (NPI-2).
NPI number1538478573
StatusActive
Last updated in NPPESJul 30, 2014
Details
- NPI
- 1538478573
- Entity type
- Organization (NPI-2)
- Legal business name
- A.T. Bassiri, D.D.S., P.A.
- Organization subpart
- No
- Enumeration date
- Sep 24, 2010
- Last updated
- Jul 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6315 | NC | Yes |
Other names
- Pine Valley Family Dentistry (Doing Business As)
Practice location
7766 Good Middling DriveFayetteville, NC 28304-3425
Phone 910-867-2344 · Fax 910-826-0028
Mailing address
7766 Good Middling DriveFayetteville, NC 28304-3425
Phone 910-867-2344 · Fax 910-826-0028
Authorized official
Arash T Bassiri
President
9108672344
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