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Dr. Michael Thomas Bauman, DMD
Oral and Maxillofacial Surgery (Dentist) in Jefferson City, Missouri
NPI 1205089851

Michael Thomas Bauman is a Oral and Maxillofacial Surgery (Dentist) based in Jefferson City, MO and is specialized in Oral and Maxillofacial Surgery. Michael Thomas Bauman practices in Jefferson City, MO and has the professional credentials of DMD. The NPI Number for Michael Thomas Bauman is 1205089851 and holds a License No. D008751 (Missouri).

The current practice location address for Michael Thomas Bauman is 1400 Southwest Blvd Ste C, Jefferson City, MO and can be reached out via phone at 573-635-7216 and via fax at 573-635-2646.

Location: 1400 Southwest Blvd Ste C, Jefferson City, MO, 65109-2430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205089851
Provider Name
Michael Thomas Bauman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1400 Southwest Blvd Ste C, Jefferson City, MO, 65109-2430
Phone Number
573-635-7216
Fax Number
573-635-2646
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Southwest Blvd Ste C
City
Jefferson City
State
Missouri
Zip
65109-2430
Phone Number
573-635-7216
Fax Number
573-635-2646
person
Provider Business Mailing Address Details
Address
1400 Southwest Blvd Ste C
City
Jefferson City
State
Missouri
Zip
65109-2430
Phone Number
573-635-7216
Fax Number
573-635-2646
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D008751 (Arizona)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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