Provider Demographics
NPI:1952525834
Name:BASINGER, ASHLEY MALOY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:MALOY
Last Name:BASINGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7643 MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411
Mailing Address - Country:US
Mailing Address - Phone:910-686-9802
Mailing Address - Fax:910-686-1096
Practice Address - Street 1:7643 MARKET STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411
Practice Address - Country:US
Practice Address - Phone:910-686-9802
Practice Address - Fax:910-686-1096
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC71051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice