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Contact Information

JOHN D BASILE, DMD
4600 ZUCK RD
ERIE, PA16506-4932
 Phone: 814-838-2144
 Fax: 814-838-7227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for JOHN D BASILE · (Male)

NPI # 1992952667
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/25/2008
Last updated 06/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS037826
  • PA Other DS037826 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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