MEDICARE: GEORGE BAUER DDS

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	30.027989	OH

General Provider Information

NPI Number	:	1265317630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE BAUER DDS

Provider Business Mailing Address
First Line	:	14760 MIKE A MENDOZA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-2441
Country	:	US
Telephone Number	:	567-674-6243
Fax Number	:

Provider Business Practice Location Address
First Line	:	2954 CARRINGTON RD
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79916
Country	:	US
Telephone Number	:	915-742-2685
Fax Number	:

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

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	08/06/2025

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