NPI 1689779605 · live from the CMS NPI Registry
Brad L. Bauer, DMD, PA, INC
Dentist, Orthodontics and Dentofacial Orthopedics in Warren, OH. National Provider Identifier 1689779605, active.
NPI record
| NPI | 1689779605 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 8096 East Market Street, Warren, OH 44484 |
| Practice phone | 330-856-5711 |
| Enumerated | September 14, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Brad Bauer, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30022050 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.