Provider Demographics
NPI:1295433084
Name:PATRICIA A BACHMANN, DMD, PLLC
Entity type:Organization
Organization Name:PATRICIA A BACHMANN, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-297-0636
Mailing Address - Street 1:9911 CORKSCREW RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3323
Mailing Address - Country:US
Mailing Address - Phone:239-948-5900
Mailing Address - Fax:
Practice Address - Street 1:9911 CORKSCREW RD STE 103
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3323
Practice Address - Country:US
Practice Address - Phone:239-948-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty