David L Basi
Oral & Maxillofacial Surgeon
515 Delaware St Se 7-174 Moos Tower
Minneapolis
, Minnesota 55455
David L Basi
Oral & Maxillofacial Surgeon
515 Delaware St Se 7-174 Moos Tower
Minneapolis
, Minnesota 55455
(651) 842-3391
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- David L Basi
- 2854 Highway 55 Suite 130
- Eagan, MN
- Zip : 55121
- Fax : (651) 842-3391
- Phone : (651) 842-3344
Second Address
- David L Basi
- 515 Delaware St Se 7-174 Moos Tower
- Minneapolis, MN
- Zip : 55455
- Fax : (612) 624-2669
- Phone : (612) 624-4435
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | D11692 | MN |
National Provider Identifier
| NPI | 1104898626 |
|---|---|
| Provider Name | David L Basi |
| First Address | Eagan, MN 55121 |
| Second Address | Minneapolis, MN 55455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U92959 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.