| Brad L. Bauer, Dmd, Pa, Inc | |
|
8096 East Market Street Warren OH 44484 | |
| (330) 856-5711 | |
| (330) 856-7685 |
| Full Name | Brad L. Bauer, Dmd, Pa, Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8096 East Market Street, Warren, Ohio |
| Authorized Official Name and Position | Brad Louden Bauer (PRESIDENT) |
| Authorized Official Contact | 3308565711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad L. Bauer, Dmd, Pa, Inc 8096 East Market Street Warren OH 44484 Ph: (330) 856-5711 | Brad L. Bauer, Dmd, Pa, Inc 8096 East Market Street Warren OH 44484 Ph: (330) 856-5711 |
| NPI Number | 1689779605 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689779605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 30022050 (Ohio) | Primary |
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