Individual
DR. MICHAEL THOMAS BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1400 SOUTHWEST BLVD STE C, JEFFERSON CITY, MO 65109-2430
(573) 635-7216
(573) 635-2646
Mailing address
1400 SOUTHWEST BLVD STE C, JEFFERSON CITY, MO 65109-2430
(573) 635-7216
(573) 635-2646
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2014041682
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
82708249924
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D008751
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DR 60035403
WA
Other
Enumeration date
10/28/2008
Last updated
03/02/2021
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