Kevin S Bauer is a Dentist in Saint Anthony, Idaho. Kevin S Bauer practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin S Bauer is 1619095361. The last update date is 2012-10-29.
Kevin S Bauer's current location address is 20 N 3rd E, Saint Anthony, Idaho. You can contact this provider via phone number 2086644100 and fax number 2086244116. The mailing address for Kevin S Bauer is 20 N 3rd E, Saint Anthony, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin S Bauer |
|---|---|
| Address | 20 N 3rd E, Saint Anthony, Idaho |
| Phone Number | 2086644100 |
| Fax Number | 2086244116 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619095361 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2012-10-29 |
Provider Mailing Address Detail
| Address | 20 N 3rd E |
|---|---|
| City | Saint Anthony |
| State | Idaho (ID) |
| Post Code | 834451521 |
| Phone Number | 2086644100 |
| Fax Number | 2086244116 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D-1824 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1298400 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin S Bauer by the Centers for Medicare & Medicaid Services?
The Kevin S Bauer has been assigned the NPI (National Provider Identifier) 1619095361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kevin S Bauer's facilities are situated?
The facilities of Kevin S Bauer are physically located at the following address: 20 N 3Rd E, Saint Anthony, ID, 834451521.
What is Kevin S Bauer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin S Bauer is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619095361 to Kevin S Bauer?
The Centers for Medicare & Medicaid Services originally issued the 1619095361 to Kevin S Bauer on 2007-03-27.
When was the information regarding Kevin S Bauer most recently updated?
The details pertaining to the Kevin S Bauer, including its address, specialty, and other relevant information, were last refreshed on 2012-10-29.
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