Leon Bass, DMD
Dentist in Jamaica, NY. Individual provider (NPI-1).
NPI number1720100837
StatusActive
Last updated in NPPESFeb 5, 2014
Details
- NPI
- 1720100837
- Entity type
- Individual (NPI-1)
- Name
- Leon Bass
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2007
- Last updated
- Feb 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 050924 | NY | Yes |
Practice location
18622 Avon RdJamaica, NY 11432-5823
Phone 917-892-3628
Mailing address
18622 Avon RdJamaica, NY 11432-5823
Phone 917-892-3628
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All 66 Dentist providers in Jamaica · All 6,245 providers in Jamaica
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