Active NPIIndividual provider

Dr. Fred S Bauer, DMD

Dentist in Caldwell, New Jersey

NPI Number1790980852
Practice location
22 Smull Ave, Caldwell, NJ 07006-5012
Fax
973-226-3575
Last updated
July 8, 2007

Fred Stephen Bauer is a Dentist based in Caldwell, NJ. Fred Stephen Bauer practices in Caldwell, NJ and has the professional credentials of DMD. The NPI Number for Fred Stephen Bauer is 1790980852 and holds a License No. 22D101088200 (NJ). The current practice location address for Fred Stephen Bauer is 22 Smull Ave, Caldwell, NJ 07006-5012 and can be reached out via phone at 973-226-3575 and via fax at 973-226-3575.

Provider Profile Details

NPI Number
1790980852
Provider Name
Fred Stephen Bauer
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
22 Smull Ave, Caldwell, NJ 07006-5012
Phone Number
973-226-3575
Fax Number
973-226-3575
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Smull Ave
Caldwell, NJ 07006-5012
Zip
07006-5012
Phone Number
973-226-3575
Fax Number
973-226-3575
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
88 Addison Ave
Rockaway, NJ 07866-3221
City
Rockaway
State
NJ
Zip
07866-3221
Phone Number
973-625-0852

License Information

License Number
22D101088200
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Fred S Bauer, DMD?

The NPI number of Dr. Fred S Bauer, DMD is 1790980852. It was assigned on June 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Fred S Bauer, DMD?

Dr. Fred S Bauer, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22D101088200.

Where does Dr. Fred S Bauer, DMD practice?

The practice location is 22 Smull Ave, Caldwell, NJ 07006-5012. The office can be reached at 973-226-3575 (phone) or 973-226-3575 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790980852 directly on the NPPES registry website.

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