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Contact Information

KEVIN S BAUER, DDS
345 N 2ND E STE 3
REXBURG, ID83440-1603
 Phone: 208-390-0109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KEVIN S BAUER · (Male)

NPI Number 1619095361
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/27/2007
Last updated 08/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # D-1824
  • ID Medicaid 001298400
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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