Jonathan W. Bauter, DDS

Dentist · Boise, ID

Individual Active NPI

NPI number 1013067115

Practice location

210 W Mallard Dr Ste E
Boise, ID 83706-3992
Phone
(208) 344-8363

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NPI record

NPI
1013067115
Entity type
Individual (Type 1)
Enumeration date
January 11, 2007
Last updated
August 15, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D-4357 ID
Dentist 122300000X 4714 NV

Other practice locations (1)

  • 525 W Washington St, Carson City, NV 89703-3830 · (775) 882-4247

About Dr. Bauter

Jonathan W. Bauter, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 210 W Mallard Dr Ste E, Boise, ID 83706-3992. The NPI number 1013067115 was assigned on January 11, 2007 and the record was last updated on August 15, 2019.

Dr. Bauter lists 2 licenses in the registry: #D-4357 (ID) for Dentist; #4714 (NV) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan W. Bauter, DDS?

The NPI number is 1013067115.

What is the phone number of Dr. Bauter?

The phone number listed for the practice location is (208) 344-8363.

Where is Dr. Bauter located?

210 W Mallard Dr Ste E, Boise, ID 83706-3992.

What is the taxonomy code for Dr. Bauter?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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