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JEREMY BAUER DDS LLC NPI 1346640331


NPI Information

NPI: 1346640331
Provider Name: JEREMY BAUER DDS LLC

Doing Business As: ALASKA DENTAL ARTS NORTH POLE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
203 S SANTA CLAUS LN STE B
NORTH POLE, AK
ZIP 99705
Phone: (907) 490-4650
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JEREMY BAUER DDS LLC is a general practice dentist in North Pole, AK. The provider is 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. JEREMY BAUER DDS LLC NPI is 1346640331. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alaska Dental Arts North Pole.

The provider's business location address is:

203 S SANTA CLAUS LN STE B
NORTH POLE, AK
ZIP 99705-704
Phone: (907) 490-4650

The provider's authorized official is Jeremy Bauer .
The authorized official title is Owner/provider and has the following contact phone number (907) 490-4650.

The enumeration date for this NPI number is 8/27/2014 and was last updated on 8/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice1436ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11580510MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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