| 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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