Basore, Makenna Paige

Basore, Makenna Paige is an individual health care provider with primary practice located at 7300 N Perimeter Rd , Malmstrom Afb MT 59402-6701. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Basore, Makenna Paige can be contacted via phone (406) 731-2511.

Contact Information

Primary practice address
7300 N Perimeter Rd Malmstrom Afb MT 59402-6701
Phone: (406) 731-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 30.026870 Ohio

Profile Details

NPI number 1093450769
LBN Legal business name Basore, Makenna Paige
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2022
Last updated Aug 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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