| Timothy P Bashford Dds Pc | |
|
400 Lake Cook Rd Deerfield IL 60015-5607 | |
| (847) 256-9507 | |
| (847) 256-9750 |
| Full Name | Timothy P Bashford Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 400 Lake Cook Rd, Deerfield, Illinois |
| Authorized Official Name and Position | Timothy Patrick Bashford (OWNER) |
| Authorized Official Contact | 8472569507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy P Bashford Dds Pc Po Box 8347 Northfield IL 60093-8347 Ph: (847) 256-9507 | Timothy P Bashford Dds Pc 400 Lake Cook Rd Deerfield IL 60015-5607 Ph: (847) 256-9507 |
| NPI Number | 1063702512 |
|---|---|
| Provider Enumeration Date | 04/18/2011 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063702512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019017695 (Illinois) | Primary |
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