Individual provider · Type 1 NPI

Joachim O. Bauer, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Glen Carbon, IL

NPI number 1205917499 Active

Practice location

23 Glen Ed Professional Park
Glen Carbon, IL 62034

Fax (618) 692-9809

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X19013949 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1205917499

Joachim O. Bauer, DDS, M.S.'s National Provider Identifier is 1205917499, issued on Oct 17, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 8, 2007.