Bauman, Michael Thomas

Bauman, Michael Thomas is an sole proprietor health care provider with primary practice located at 1400 Southwest Blvd Ste C , Jefferson City MO 65109-2430. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bauman, Michael Thomas can be contacted via phone (573) 635-7216.

Contact Information

Primary practice address
1400 Southwest Blvd Ste C Jefferson City MO 65109-2430
Phone: (573) 635-7216
Fax: (573) 635-2646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D008751 Arizona
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 82708249924 Utah
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2014041682 Missouri
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DR 60035403 Washington

Profile Details

NPI number 1205089851
LBN Legal business name Bauman, Michael Thomas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2008
Last updated Mar 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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