Basquiat, Wilson J.

Basquiat, Wilson J. is an individual health care provider with primary practice located at 5607 Nw 27Th Ave Ste 2 , Miami FL 33142-2826. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Basquiat, Wilson J. can be contacted via phone (305) 805-1700.

Contact Information

Primary practice address
5607 Nw 27Th Ave Ste 2 Miami FL 33142-2826
Phone: (305) 805-1700
Fax: (305) 805-1715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH20849 Florida

Profile Details

NPI number 1235655945
LBN Legal business name Basquiat, Wilson J.
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Sep 10th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235655945 NPPES
Florida MEDICAID 022136500

Popular Providers