Frideres, Trevor Mathias Bauer

Frideres, Trevor Mathias Bauer is an individual health care provider with primary practice located at 410 E Cascade Ave , Sisters OR 97759. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Frideres, Trevor Mathias Bauer can be contacted via phone (541) 549-9486.

Contact Information

Primary practice address
410 E Cascade Ave Sisters OR 97759
Phone: (541) 549-9486
Fax: (541) 549-9110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10577 Oregon
Dental Providers / Dentist 122300000X DE60394053 Washington

Profile Details

NPI number 1629401575
LBN Legal business name Frideres, Trevor Mathias Bauer
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2013
Last updated Jan 27th, 2019 - about 7 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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