Individual
DR. DOUGLAS L. BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
104 N WALTERS AVE, HODGENVILLE, KY 42748-1532
(270) 358-3189
(270) 358-3180
Mailing address
2386 SPORTSMAN LAKE RD, ELIZABETHTOWN, KY 42701-8222
(270) 735-1787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5955
KY
Other
Enumeration date
10/25/2005
Last updated
02/10/2014
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