Search › Missouri › 1223S0112X
Michael Bauman, DMD
NPI 1205089851 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1400 Southwest Blvd Ste C
Jefferson City, MO 65109 - Phone
- (573) 635-7216
- Fax
- (573) 635-2646
- Organisation at this address
- Jefferson City Oral And Maxillofacial Surgery, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
1223S0112X
1223S0112X - Licence states on file
- AZ, UT, MO, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri