# CHARLES D. BAUER, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHARLES D. BAUER, D.D.S.
- **Other names:** Charles D. Bauer, D.D.S.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427294289
- **Legal business name:** CHARLES D. BAUER, D.D.S.
- **Authorized official:** MRS. PATTY R BASSETT (BUSINESS COORDINATOR)
- **Authorized official phone:** (402) 462-6410

## Contact information

- **Practice address:** 2115 N KANSAS AVE, SUITE \#202, HASTINGS, NE 68901-2615
- **Practice address phone:** (402) 462-6410
- **Practice address fax:** (402) 462-4463
- **Mailing address:** 2115 N KANSAS AVE, SUITE \#202, HASTINGS, NE 68901-2615
- **Mailing address phone:** (402) 462-6410
- **Mailing address fax:** (402) 462-4463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4565 | NE | Yes |

## Other

- **Enumeration date:** 12/29/2008
- **Last updated:** 04/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1194739276 | NPI | — |