Individual
JON M BAUMBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1329 E TENNESSEE ST, TALLAHASSEE, FL 32308-5107
(850) 878-7999
(850) 942-2681
Mailing address
751 E 3RD AVE, NEW SMYRNA BEACH, FL 32169-3101
(386) 428-6491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN7084
FL
Other
Enumeration date
10/02/2006
Last updated
12/07/2018
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