Individual
DR. CHARLES DALE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
1223G0001X
General Practice Dentistry
Primary
4565
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05473
BLUE CROSS BLUE SHIELD
NE
05
—
47067078700
—
NE
Enumeration date
07/27/2006
Last updated
04/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us