Organization
JEFFREY C BAUER DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN MANN BAUER (CFO)
(843) 757-2222
Entity
Organization
Contact information
Practice address
19 PROMENADE ST, UNIT 201, BLUFFTON, SC 29910-7037
(843) 757-2222
Mailing address
19 PROMENADE ST, UNIT 201, BLUFFTON, SC 29910-7037
(843) 757-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD4574GD
SC
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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