Thomas Luke Bashaw, D.D.S.

Dentist · Elk River, MN

Individual Active NPI

NPI number 1922065416

Practice location

710 Dodge Ave NW
Suite B
Elk River, MN 55330-2019
Phone
(763) 441-3922

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NPI record

NPI
1922065416
Entity type
Individual (Type 1)
Enumeration date
April 27, 2006
Last updated
August 19, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D09824 MN

About Dr. Bashaw

Thomas Luke Bashaw, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 710 Dodge Ave NW, Suite B, Elk River, MN 55330-2019. The NPI number 1922065416 was assigned on April 27, 2006 and the record was last updated on August 19, 2014.

Dr. Bashaw lists a license in the registry: #D09824 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Luke Bashaw, D.D.S.?

The NPI number is 1922065416.

What is the phone number of Dr. Bashaw?

The phone number listed for the practice location is (763) 441-3922.

Where is Dr. Bashaw located?

710 Dodge Ave NW, Suite B, Elk River, MN 55330-2019.

What is the taxonomy code for Dr. Bashaw?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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