William G Bast D.M.D.

NPI 1063543650 - Dentist - 1223S0112X

NPI Details
NPI 1063543650
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
194 MIDDLE RD
SAYVILLE NY, 11782-3242, US
Phone (631) 567-3777
Fax (631) 567-3977
Business Location
194 MIDDLE RD
SAYVILLE NY, 11782-3242, US
Phone (631) 567-3777
Fax (631) 567-3977
Toxanomy
Taxonomy Code 1223S0112X
License State New York
License Number 045376
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According to our database, William G Bast D.M.D. NPI is 1063543650, taxonomy code is 1223S0112X and license number is 045376, license state is located at New York. William G Bast D.M.D. physically located at 194 Middle Rd, Sayville NY, 11782-3242. NPI Number William G Bast D.M.D. has the Individual type.

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1063543650 NPI number is provided on an as is basis without warranty of any kind. 1063543650 is maintained by the National Plan & Provider Enumeration System. The contents of William G Bast D.M.D. are for informational purposes only.