Male or Other

Dr. Bryan D. Basom D.D.S.

Dentist in Chillicothe, OH(View on Map)

Full Name

Dr. Bryan D Basom D.D.S.

NPI Number

1043499650

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/31/2007

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

30.022613

Contact
Information

Purpose

Mailing
Location

Address

11 MEDICAL DR
11 MEDICAL DR

City

Chillicothe
Chillicothe

State

OH
OH

Postal Code

45601-8603
45601-8603

Country

US
US

Telephone Number

(740) 775-8050
(740) 775-8050

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/15/2010

Provider Address

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