Mr Kenneth James Bauer, DDS - Dentist in Santa Rosa, CA

Mr Kenneth James Bauer, DDS is a Dentist - General Practice based in Santa Rosa, California. Mr Kenneth James Bauer is licensed to practice in California (license number 34668) and his current practice location is 55 Mission Cir Ste 107, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 538-1086.

NPI number for Mr Kenneth James Bauer is 1356506596 and his current mailing address is 55 Mission Cir Ste 107, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356506596.

Contact Information

Mr Kenneth James Bauer, DDS
55 Mission Cir Ste 107,
Santa Rosa, CA 95409-5372
(707) 538-1086
(707) 538-0934



Healthcare Provider's Profile

Full NameMr Kenneth James Bauer
GenderMale
SpecialityDentist - General Practice
Location55 Mission Cir Ste 107, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356506596
  • Provider Enumeration Date: 07/28/2008
  • Last Update Date: 07/28/2008

Medical Identifiers

Medical identifiers for Mr Kenneth James Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356506596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 34668 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth James Bauer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth James Bauer, DDS
55 Mission Cir Ste 107,
Santa Rosa, CA 95409-5372

Ph: (707) 538-1086
Mr Kenneth James Bauer, DDS
55 Mission Cir Ste 107,
Santa Rosa, CA 95409-5372

Ph: (707) 538-1086

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Dentist in Santa Rosa, CA

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Phone: 707-579-2808    
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Phone: 707-575-4450    Fax: 415-789-1252
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Medicare: Not Enrolled in Medicare
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Phone: 707-525-1228    Fax: 707-525-1137
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Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
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Medicare: Not Enrolled in Medicare
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Phone: 707-566-7300    Fax: 707-566-7400
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Phone: 707-546-5234    Fax: 707-546-3928
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Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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