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Organization
CHARLES D. BAUER, D.D.S., P.C.
Active
Organization
CHARLES D. BAUER, D.D.S., P.C.
Active
Parent organization
CHARLES D. BAUER, D.D.S.
Other names
Charles D. Bauer, D.D.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES D. BAUER, D.D.S.
Authorized official
MRS. PATTY R BASSETT (BUSINESS COORDINATOR)
(402) 462-6410
Entity
Organization
Contact information
Practice address
2115 N KANSAS AVE, SUITE #202, HASTINGS, NE 68901-2615
(402) 462-6410
(402) 462-4463
Mailing address
2115 N KANSAS AVE, SUITE #202, HASTINGS, NE 68901-2615
(402) 462-6410
(402) 462-4463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4565
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194739276
NPI
—
Enumeration date
12/29/2008
Last updated
04/18/2011
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