Individual
DENNIS DAVID BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2200 OLYMPIC STREET, SPRINGFIELD, OH 45503
(937) 390-0493
(937) 390-0052
Mailing address
2200 OLYMPIC STREET, SPRINGFIELD, OH 45503
(937) 390-0493
(937) 390-0052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30015557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0376507
—
OH
Enumeration date
11/07/2006
Last updated
07/08/2007
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