Organization
AM BAUER DDS & JT BECK DDS & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE M. BAUER D.D.S. (PRESIDENT)
(937) 653-7623
Entity
Organization
Contact information
Practice address
848 SCIOTO ST, URBANA, OH 43078-2255
(937) 653-7623
(937) 653-6916
Mailing address
848 SCIOTO ST, URBANA, OH 43078-2255
(937) 653-7623
(937) 653-6916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14048
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199177
—
OH
05
—
0301275
—
OH
Enumeration date
08/23/2005
Last updated
01/23/2018
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