Dr. Justin Bauer
Dental Public Health
241 W Forest St
Brigham City
, Utah 84302
Dr. Justin Bauer
Dental Public Health
241 W Forest St
Brigham City
, Utah 84302
(435) 723-6120
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Justin Bauer
- 241 W Forest St
- Brigham City, UT
- Zip : 84302-2022
- Phone : (435) 723-6120
Second Address
- Dr. Justin Bauer
- 241 W Forest St
- Brigham City, UT
- Zip : 84302
- Phone : (435) 723-6120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 10144761-9922 | UT |
National Provider Identifier
| NPI | 1477009678 |
|---|---|
| Provider Name | Dr. Justin Bauer |
| First Address | Brigham City, UT 84302-2022 |
| Second Address | Brigham City, UT 84302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2016 |
| Last Update Date | 01/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.