Bauer, Frederick Scott

Bauer, Frederick Scott is an individual health care provider with primary practice located at 611 Alcorn Dr Suite 220, Corinth MS 38834-9321. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bauer, Frederick Scott can be contacted via phone (662) 287-8299.

Contact Information

Primary practice address
611 Alcorn Dr Suite 220 Corinth MS 38834-9321
Phone: (662) 287-8299
Fax: (662) 286-8789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X MS2330-87 Mississippi

Profile Details

NPI number 1548275100
LBN Legal business name Bauer, Frederick Scott
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Feb 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548275100 NPPES
Mississippi MEDICAID 00660372

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