Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bassilleann PA

Organization General Practice Dentistry · NPI 1962684696

Bassilleann PA provides General Practice Dentistry in Clearwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 N Walnut St
Clearwater, MN 55320 Not confirmed with CMS for 18 years — call before visiting
Phone: (320) 558-6810
Fax: (320) 558-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11975 (MN)

Record details

NPI number1962684696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anne Meyer — Administration · (320) 558-6810
Other names Clearwater Family And Sedation Dentistry
NPI enumeratedDecember 5, 2007
Last updated in NPPESDecember 5, 2007
Mailing addressPo Box 187, Clearwater, MN 55320-0187