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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL THOMAS BAUMAN, DMD

Active Sole Proprietor

DR. MICHAEL THOMAS BAUMAN, DMD is a Oral & Maxillofacial Surgery healthcare provider located in JEFFERSON CITY, Missouri. NPI 1205089851 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · JEFFERSON CITY, MO

Registration Details

NPI Number
1205089851
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2008 (17.779213350095 yrs)
Last Updated
Mar 2, 2021
Licenses
D008751 (AZ)
82708249924 (UT)
2014041682 (MO)
DR 60035403 (WA)
Sole Proprietor
Yes

Practice Information

Address
1400 SOUTHWEST BLVD STE C
JEFFERSON CITY, MO, 651092430
Browse MO providers · Browse ZIP 65109
Phone
5736357216
Fax
5736352646
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in JEFFERSON CITY, MO

Name Credential NPI
DR. RICHARD FRANCIS GRAHAM D.D.S. 1215043104
DR. JONATHAN GRANT HANSON D.D.S. 1518073402
JORDAN ELIZABETH IMMEL DMD 1669080214
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.