Individual
DR. JOHN L BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
555 W ADAMS ST, BURNS, OR 97720-1408
(541) 573-7702
Mailing address
555 W ADAMS ST, BURNS, OR 97720-1408
(541) 573-7702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5295
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017541
—
OR
Enumeration date
11/30/2006
Last updated
07/08/2007
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