Individual
JAY ALLEN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
923 1ST STREET SOUTH, CARRINGTON, ND 58421-0139
(701) 652-2801
(701) 652-2802
Mailing address
PO BOX 139, CARRINGTON, ND 58421-0139
(701) 652-2801
(701) 652-2802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1735
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040949
—
ND
Enumeration date
10/20/2006
Last updated
07/08/2007
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