Provider Demographics
NPI:1841208360
Name:SALOMONE & BASS, DDS, APC
Entity Type:Organization
Organization Name:SALOMONE & BASS, DDS, APC
Other - Org Name:DESERT ORAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-346-7431
Mailing Address - Street 1:72780 EL PASEO
Mailing Address - Street 2:SUITE E1
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3391
Mailing Address - Country:US
Mailing Address - Phone:760-346-7431
Mailing Address - Fax:760-341-6949
Practice Address - Street 1:72780 EL PASEO
Practice Address - Street 2:SUITE E1
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3391
Practice Address - Country:US
Practice Address - Phone:760-346-7431
Practice Address - Fax:760-341-6949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363351223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty