OrganizationActive
Bassilleann P.A.
NPI 1962684696 · General Practice Dentistry · Clearwater, MN
Provider details
- NPI number
- 1962684696
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Anne Meyer, Administration(320) 558-6810
- License
- 11975 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 N. Walnut Street
Clearwater, MN 55320
Phone: (320) 558-6810
Fax: (320) 558-6006
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 187
Clearwater, MN 55320-0187
Other names (DBA / former)
- Doing business as
- Clearwater Family and Sedation Dentistry
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2007-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.