Joachim O Bauer in Glen Carbon - Orthodontics And Dentofacial Orthopedics
Joachim O Bauer - NPI 1205917499
Joachim O Bauer is a Orthodontics And Dentofacial Orthopedics in Glen Carbon, Illinois. Joachim O Bauer practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Joachim O Bauer is 1205917499. The last update date is 2007-07-08.
Joachim O Bauer's current location address is 23 Glen Ed Professional Park, Glen Carbon, Illinois. You can contact this provider via phone number 6186921044 and fax number 6186929809. The mailing address for Joachim O Bauer is 23 Glen Ed Professional Park, Glen Carbon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Joachim O Bauer |
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Address | 23 Glen Ed Professional Park, Glen Carbon, Illinois |
Phone Number | 6186921044 |
Fax Number | 6186929809 |
Sole Proprietor | Y |
Credentials | D.D.S., M. |
NPI Number Detail
NPI Number | 1205917499 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 23 Glen Ed Professional Park |
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City | Glen Carbon |
State | Illinois (IL) |
Post Code | 620343333 |
Phone Number | 6186921044 |
Fax Number | 6186929809 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 19013949 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code assigned to Joachim O Bauer by the Centers for Medicare & Medicaid Services?
The Joachim O Bauer has been issued the NPI (National Provider Identifier) 1205917499 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Joachim O Bauer?
The Joachim O Bauer is physically situated at 23 Glen Ed Professional Park, in the city of Glen Carbon, state of IL, with the postal code 620343333.
What is Joachim O Bauer's area of expertise and its corresponding taxonomy classification?
The Joachim O Bauer's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
When did the Joachim O Bauer receive its 1205917499?
The Joachim O Bauer was issued its 1205917499 on 2006-10-17, which is the date when the organization was assigned this unique identifier.
As of what date were the Joachim O Bauer's details last updated?
The information pertaining to the Joachim O Bauer, including its address, specialty, and other details, was most recently updated on 2007-07-08.