Provider Demographics
NPI:1467324590
Name:PHILIP B BHASKAR DMD A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:PHILIP B BHASKAR DMD A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:BHASKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:831-372-2882
Mailing Address - Street 1:337 EL DORADO ST STE A1
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4638
Mailing Address - Country:US
Mailing Address - Phone:831-372-2882
Mailing Address - Fax:
Practice Address - Street 1:337 EL DORADO ST STE A1
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4638
Practice Address - Country:US
Practice Address - Phone:831-372-2882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty