Individual
DR. SCOTT WILLIAM BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174
(641) 236-8784
Mailing address
902 PARK ST, GRINNELL, IA 50112-2050
(641) 236-6174
(641) 236-8784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7851
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232272
—
IA
01
—
29573
BCBS OF IOWA
IA
Enumeration date
11/20/2006
Last updated
07/08/2007
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