NPI 1003141722

Matthew J Bauer, DMDMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Cottleville, MO

Practice location

Address: 150 Weiss Rd Suite 102, Cottleville, MO 63376-0045
Phone: (636) 447-2083
Fax: (636) 447-2059

Registered specialties (2)

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 2011004362 (MO)

Other Dentist providers in Missouri →

Orthodontics and Dentofacial Orthopedics Dentistry

Dental Providers Taxonomy 1223X0400X Licence 019026933 (IL)

Registry record

NPI: 1003141722
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2009
Record last updated: 23 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.