Kenneth Roger Baumgartner, DDS
General Practice Dentistry · Fort Bragg, CA
Practice location
18175 N Highway OneFort Bragg, CA 95437
- Phone
- (707) 964-0440
- Fax
- (707) 964-8373
NPI record
- NPI
- 1205933926
- Entity type
- Individual (Type 1)
- Enumeration date
- September 17, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
34056 | CA |
About Dr. Baumgartner
Kenneth Roger Baumgartner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 18175 N Highway One, Fort Bragg, CA 95437. The NPI number 1205933926 was assigned on September 17, 2006 and the record was last updated on July 8, 2007.
Dr. Baumgartner lists a license in the registry: #34056 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kenneth Roger Baumgartner, DDS?
The NPI number is 1205933926.
What is the phone number of Dr. Baumgartner?
The phone number listed for the practice location is (707) 964-0440.
Where is Dr. Baumgartner located?
18175 N Highway One, Fort Bragg, CA 95437.
What is the taxonomy code for Dr. Baumgartner?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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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