Charles D. Bauer, D.d.s., P.c.

NPI #1427294289 in Hastings, Nebraska

Provider Information

NPI Number: 1427294289
Entity Type: Organization
Organization Name: Charles D. Bauer, D.d.s., P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: CHARLES D. BAUER, D.D.S.
Primary Specialty: Dentist
Enumeration Date: Dec 29, 2008
Last Updated: Apr 18, 2011

Practice Location

Address: 2115 N KANSAS AVE
Address 2: SUITE #202
City: Hastings
State: Nebraska
ZIP Code: 68901-2615
Phone: (402) 462-6410

Authorized Official

Name: MRS. PATTY R BASSETT
Title: BUSINESS COORDINATOR
Phone: (402) 462-6410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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