Individual
DR. DOUGLAS PAUL BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9240 ANDERMATT DR STE 3, LINCOLN, NE 68526-9761
(402) 486-4050
(402) 486-4051
Mailing address
9240 ANDERMATT DR STE 3, LINCOLN, NE 68526-9761
(402) 486-4050
(402) 486-4051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5749
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08348
BLUE CROSS BLUE SHIELD
NE
05
—
10025063900
—
NE
01
—
885174
UNITED CONCORDIA MILITARY
NE
Enumeration date
11/13/2006
Last updated
10/27/2023
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