Kelly Bauer is a Dental Hygienist in Lake Jackson, Texas. Kelly Bauer practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kelly Bauer is 1922105022. The last update date is 2007-07-08.
Kelly Bauer's current location address is 110 Flag Dr E, Lake Jackson, Texas. You can contact this provider via phone number 9792971634 and fax number 9792976226. The mailing address for Kelly Bauer is 110 Flag Dr E, Lake Jackson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Bauer |
|---|---|
| Address | 110 Flag Dr E, Lake Jackson, Texas |
| Phone Number | 9792971634 |
| Fax Number | 9792976226 |
| Sole Proprietor | Y |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1922105022 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 110 Flag Dr E |
|---|---|
| City | Lake Jackson |
| State | Texas (TX) |
| Post Code | 775666006 |
| Phone Number | 9792971634 |
| Fax Number | 9792976226 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 5289 |
|
Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Bauer by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly Bauer has been assigned the NPI (National Provider Identifier) 1922105022. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kelly Bauer is physically located?
The Kelly Bauer is physically situated at the following address: 110 Flag Dr E, Lake Jackson, TX, 775666006.
What is the Kelly Bauer's area of specialization and corresponding taxonomy classification?
The Kelly Bauer's specialty field is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1922105022 to Kelly Bauer?
The Kelly Bauer received its 1922105022 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
As of what date were the details pertaining to Kelly Bauer last refreshed?
The information related to the Kelly Bauer, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN