Individual
DR. STEPHEN WILLIAM BAER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
221 SIMPSON PARK RD, SHELBY, NC 28150-4299
(704) 484-3366
Mailing address
202 WILLIAMSON RD STE 200, MOORESVILLE, NC 28117-7611
(704) 360-8670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13628
NC
1223P0221X
Pediatric Dentistry
Primary
13628
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
07/18/2024
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