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NPI Code Detail

MEDICARE: DR. FREDERICK SCOTT BAUER D.M.D.

MEDICARE:  DR. FREDERICK SCOTT BAUER  D.M.D.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)MS2330-87MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548275100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK SCOTT BAUER D.M.D.
Provider Business Mailing Address
First Line : 611 ALCORN DR
Second Line : SUITE 220
City : CORINTH
State : MS
Zip : 38834-9321
Country : US
Telephone Number : 662-287-8299
Fax Number : 662-286-8789
Provider Business Practice Location Address
First Line : 611 ALCORN DR
Second Line : SUITE 220
City : CORINTH
State : MS
Zip : 38834-9321
Country : US
Telephone Number : 662-287-8299
Fax Number : 662-286-8789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 02/21/2008

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Directions to “ DR. FREDERICK SCOTT BAUER D.M.D.” Practice Location

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