NPI 1902988488 · live from the CMS NPI Registry
Jay Allen Bauer, DDS
Dentist, General Practice in Carrington, ND. National Provider Identifier 1902988488, active.
NPI record
| NPI | 1902988488 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 923 1st Street South, Carrington, ND 58421 |
| Practice phone | 701-652-2801 |
| Mailing address | Po Box 139, Carrington, ND 58421 |
| Enumerated | October 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1735 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.