Baumgartner, Paul M

Baumgartner, Paul M is an individual health care provider with primary practice located at 128 Ross St , Molalla OR 97038-9390. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Baumgartner, Paul M can be contacted via phone (503) 829-6879.

Contact Information

Primary practice address
128 Ross St Molalla OR 97038-9390
Fax: (503) 829-3398
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5376 Oregon

Profile Details

NPI number 1740282599
LBN Legal business name Baumgartner, Paul M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 19 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 1740282599 NPPES
Oregon MEDICAID 018499

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