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Contact Information

DOUGLAS M BAUER, DDS
4640 NICOLS RD
SUITE 100
EAGAN, MN55122-2306
 Phone: 651-454-1414
 Fax: 651-454-7987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DOUGLAS M BAUER · (Male)

NPI Number 1013081355
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/20/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 8912
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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