Bhaskar Gupta, DDS | |
110 S 2nd St, Ellington, MO 63638-9400 | |
(573) 663-2313 | |
Not Available |
Full Name | Bhaskar Gupta |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 110 S 2nd St, Ellington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053037234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 107390 (California) | Secondary |
1223G0001X | Dentist - General Practice | 2023044154 (Missouri) | Primary |
Entity Name | San Benito Health Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295810174 PECOS PAC ID: 0840195442 Enrollment ID: O20031205000584 |
Mailing Address | Practice Location Address |
---|---|
Bhaskar Gupta, DDS 85 Wayne 216, Lodi, MO 63950-8726 Ph: (661) 741-7929 | Bhaskar Gupta, DDS 110 S 2nd St, Ellington, MO 63638-9400 Ph: (573) 663-2313 |
Dr. Ibukun T Akinyede, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 Walnut Street, Ellington, MO 63638 Phone: 573-323-0423 Fax: 573-323-8931 | |
John R Galloway, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 115 W Walnut St, Ellington, MO 63638 Phone: 573-663-3177 Fax: 573-663-3188 | |
Rebecca Rae Singleton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 115 W Walnut St, Ellington, MO 63638 Phone: 573-663-3177 |