Individual provider · Type 1 NPI
Russell A. Baer, DDS
Oral and Maxillofacial Surgery (Dentist) · Chicago, IL
NPI number
1275698003
Active
Practice location
222 N Lasalle St, 230
Chicago, IL 60601-1002
Mailing address
5841 S Maryland Ave # MC1099
Chicago, IL 60637-1447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 019019898 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
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About NPI 1275698003
Russell A. Baer, DDS's National Provider Identifier is 1275698003, issued on Dec 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chicago, IL. The record was last updated on Mar 3, 2021.