Dr. Matthew J Bauer
Orthodontists
150 Weiss Rd Suite 102
Cottleville
, Missouri 63376-0045
Dr. Matthew J Bauer
Orthodontists
150 Weiss Rd Suite 102
Cottleville
, Missouri 63376-0045
(636) 447-2059
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Matthew J Bauer
- 150 Weiss Rd Suite 102
- Cottleville, MO
- Zip : 63376-0045
- Fax : (636) 447-2059
- Phone : (636) 447-2083
Second Address
- Dr. Matthew J Bauer
- 150 Weiss Rd Suite 102
- Cottleville, MO
- Zip : 63376-0045
- Fax : (636) 447-2059
- Phone : (636) 447-2083
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223X0400X | Orthodontists | 019026933 | IL |
| Y | 1223X0400X | Orthodontists | 2011004362 | MO |
National Provider Identifier
| NPI | 1003141722 |
|---|---|
| Provider Name | Dr. Matthew J Bauer |
| First Address | Cottleville, MO 63376-0045 |
| Second Address | Cottleville, MO 63376-0045 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2009 |
| Last Update Date | 23/05/2011 |
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.