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Kenneth Roger Baumgartner, DDS
General Practice Dentistry in Fort Bragg, California
NPI 1205933926

Kenneth Roger Baumgartner is a General Practice Dentistry based in Fort Bragg, CA and is specialized in General Practice. Kenneth Roger Baumgartner practices in Fort Bragg, CA and has the professional credentials of DDS. The NPI Number for Kenneth Roger Baumgartner is 1205933926 and holds a License No. 34056 (California).

The current practice location address for Kenneth Roger Baumgartner is 18175 N Highway One, Fort Bragg, CA and can be reached out via phone at 707-964-0440 and via fax at 707-964-8373.

Location: 18175 N Highway One, Fort Bragg, CA, 95437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205933926
Provider Name
Kenneth Roger Baumgartner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
18175 N Highway One, Fort Bragg, CA, 95437
Phone Number
707-964-0440
Fax Number
707-964-8373
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B34056 05 CA
DS034056 01 BCBS
825575 01 UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
18175 N Highway One
City
Fort Bragg
State
California
Zip
95437
Phone Number
707-964-0440
Fax Number
707-964-8373
person
Provider Business Mailing Address Details
Address
18175 N Highway One
City
Fort Bragg
State
California
Zip
95437
Phone Number
707-964-0440
Fax Number
707-964-8373
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
34056 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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