| Charles D. Bauer, D.d.s. | |
|
2115 N Kansas Ave Suite #202 Hastings NE 68901-2615 | |
| (402) 462-6410 | |
| (402) 462-4463 |
| Full Name | Charles D. Bauer, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 2115 N Kansas Ave, Hastings, Nebraska |
| Authorized Official Name and Position | Patty R Bassett (BUSINESS COORDINATOR) |
| Authorized Official Contact | 4024626410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D. Bauer, D.d.s. 2115 N Kansas Ave Suite #202 Hastings NE 68901-2615 Ph: (402) 462-6410 | Charles D. Bauer, D.d.s. 2115 N Kansas Ave Suite #202 Hastings NE 68901-2615 Ph: (402) 462-6410 |
| NPI Number | 1427294289 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427294289 | NPI | - | NPPES |
| 1194739276 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4565 (Nebraska) | Primary |
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