Patrick M Bauer Dds Ms Pc | |
1250 E Walnut Lawn St Springfield MO 65804-4202 | |
(417) 883-3740 | |
(417) 883-8148 |
Full Name | Patrick M Bauer Dds Ms Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1250 E Walnut Lawn St, Springfield, Missouri |
Authorized Official Name and Position | Patrick M Bauer (DR) |
Authorized Official Contact | 4178833740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patrick M Bauer Dds Ms Pc 1250 E Walnut Lawn Springfield MO 65804-4202 Ph: (417) 883-3740 | Patrick M Bauer Dds Ms Pc 1250 E Walnut Lawn St Springfield MO 65804-4202 Ph: (417) 883-3740 |
NPI Number | 1316097504 |
---|---|
Provider Enumeration Date | 01/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316097504 | NPI | - | NPPES |
01588 | Other | MO | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 05188 (Missouri) | Primary |
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