Douglas M Bauer Dds,Pa in Eagan - Dentist

Douglas M Bauer Dds,Pa - NPI 1619041969

Douglas M Bauer Dds,Pa is a Dentist in Eagan, Minnesota. Douglas M Bauer Dds,Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas M Bauer Dds,Pa is 1619041969. The last update date is 2008-06-23.

Douglas M Bauer Dds,Pa's current location address is 4640 Nicols Rd, Eagan, Minnesota. You can contact this provider via phone number 6514541414 and fax number 6514547987. The mailing address for Douglas M Bauer Dds,Pa is 4640 Nicols Rd, Eagan, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Douglas M Bauer Dds,Pa
Address 4640 Nicols Rd, Eagan, Minnesota
Phone Number 6514541414
Fax Number 6514547987
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Bauer Martin Douglas
Credentials DDS
Telephone Number 6514541414

NPI Number Detail

NPI Number 1619041969
Provider Enumeration Date 2006-11-20
Last Updated Date 2008-06-23

Provider Mailing Address Detail

Address 4640 Nicols Rd
City Eagan
State Minnesota (MN)
Post Code 551222306
Phone Number 6514541414
Fax Number 6514547987

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8912
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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FAQs about Douglas M Bauer Dds,Pa

What is the unique provider identifier assigned to Douglas M Bauer Dds,Pa?

The Douglas M Bauer Dds,Pa has been issued the NPI (National Provider Identifier) 1619041969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Douglas M Bauer Dds,Pa?

The Douglas M Bauer Dds,Pa is physically situated at 4640 Nicols Rd, in the city of Eagan, state of MN, with the postal code 551222306.

What is Douglas M Bauer Dds,Pa's area of expertise and its corresponding taxonomy classification?

The Douglas M Bauer Dds,Pa's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

When did the Douglas M Bauer Dds,Pa receive its 1619041969?

The Douglas M Bauer Dds,Pa was issued its 1619041969 on 2006-11-20, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Douglas M Bauer Dds,Pa most recently updated or revised?

The details related to Douglas M Bauer Dds,Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-23.

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