NPI 1104921188 · live from the CMS NPI Registry
John William Bausch, DDS
Dentist, General Practice in Milford, DE. National Provider Identifier 1104921188, active.
NPI record
| NPI | 1104921188 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 100 Sussex Ave, Milford, DE 19963 |
| Practice phone | 302-422-6924 |
| Mailing address | 306 W Laurel St, Georgetown, DE 19947 |
| Enumerated | September 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | G10000960 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.