Organization
DENTAL WORKSHOP PARTNERSHIP
Active
Other names
Jeremy Bauer DDS LLC, Alaska Dental Arts North Pole
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BAUER DDS (DENTIST)
(907) 490-4650
Entity
Organization
Contact information
Practice address
190 KEVINS WAY, NORTH POLE, AK 99705
(907) 490-4650
(907) 490-4653
Mailing address
190 KEVINS WAY, NORTH POLE, AK 99705
(907) 490-4650
(907) 490-4653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580510
—
AK
Enumeration date
08/27/2014
Last updated
04/16/2024
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