Kevin S. Bauer, DDS

Dentist · Rexburg, ID

Individual Active NPI

NPI number 1619095361

Practice location

345 N 2ND E Ste 3
Rexburg, ID 83440-1603
Phone
(208) 390-0109

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NPI record

NPI
1619095361
Entity type
Individual (Type 1)
Enumeration date
March 27, 2007
Last updated
August 27, 2024
Certified
August 27, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D-1824 ID

About Dr. Bauer

Kevin S. Bauer, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 345 N 2ND E Ste 3, Rexburg, ID 83440-1603. The NPI number 1619095361 was assigned on March 27, 2007 and the record was last updated on August 27, 2024.

Dr. Bauer lists a license in the registry: #D-1824 (ID) 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 Kevin S. Bauer, DDS?

The NPI number is 1619095361.

What is the phone number of Dr. Bauer?

The phone number listed for the practice location is (208) 390-0109.

Where is Dr. Bauer located?

345 N 2ND E Ste 3, Rexburg, ID 83440-1603.

What is the taxonomy code for Dr. Bauer?

The primary taxonomy code is 122300000X – Dentist.

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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