Individual
DR. FREDERICK SCOTT BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
611 ALCORN DR, SUITE 220, CORINTH, MS 38834-9321
(662) 287-8299
(662) 286-8789
Mailing address
611 ALCORN DR, SUITE 220, CORINTH, MS 38834-9321
(662) 287-8299
(662) 286-8789
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MS2330-87
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660372
—
MS
Enumeration date
07/30/2006
Last updated
02/21/2008
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