Individual
DR. JAMESON BAUMGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3607 N VERMILION ST, SUITE 4, DANVILLE, IL 61832-1116
(217) 442-0056
(217) 442-6352
Mailing address
3607 N VERMILION ST, SUITE 4, DANVILLE, IL 61832-1116
(217) 442-0056
(217) 442-6352
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025048
IL
122300000X
Dentist
8192
IA
Other
Enumeration date
01/31/2007
Last updated
04/30/2015
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