MEDICARE: MR. JAMES SAAR BAUER DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	007025	CT

General Provider Information

NPI Number	:	1649214727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES SAAR BAUER DMD

Provider Business Mailing Address
First Line	:	40 MAIN ST N
Second Line	:
City	:	WOODBURY
State	:	CT
Zip	:	06798-2966
Country	:	US
Telephone Number	:	203-263-4402
Fax Number	:	203-263-6211

Provider Business Practice Location Address
First Line	:	40 MAIN ST N
Second Line	:
City	:	WOODBURY
State	:	CT
Zip	:	06798-2966
Country	:	US
Telephone Number	:	203-263-4402
Fax Number	:	203-263-6211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/08/2007

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