KENNETH J. BAUER, DDS, A PROFESSIONAL CORPORATION
NPI 1114650207
Dentist - General Practice in Santa Rosa, CA

Q: What is Kenneth J. Bauer, Dds, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 06, 2022

55 MISSION CIR STE 107, SANTA ROSA, CA 95409(707) 538-1086(707) 538-0934 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth J. Bauer, Dds, A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J. BAUER, DDS, A PROFESSIONAL CORPORATION (NPI 1114650207) is a healthcare organization registered as a general practice in Santa Rosa, California and active in the NPI registry since July 2022. The organization lists Kenneth Bauer, President, as its authorized official.

NPPES Registry Identity

NPI1114650207

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKENNETH J. BAUER, DDS, A PROFESSIONAL CORPORATION

Location Address55 MISSION CIR STE 107Santa Rosa, CA 95409-5372

Mailing Address55 Mission Cir Ste 107Santa Rosa, CA 95409-5372 · (707) 538-1086 · Fax (707) 538-0934

Phone(707) 538-1086

Fax(707) 538-0934

Organization SubpartNo

Authorized OfficialKenneth BauerPresident · (707) 799-1228

Enumeration DateJuly 6, 2022

NPPES CertifiedJuly 6, 2022

✔ NPI 1114650207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

55 MISSION CIR STE 107, Santa Rosa, CA 95409

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KENNETH JAMES BAUER D.D.S

Dentist (General Practice)

55 MISSION CIR STE 107
SANTA ROSA, CA 95409

Sonoma County (707) 538-1086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth J. Bauer, Dds, A Professional Corporation's NPI number?

The NPI number for Kenneth J. Bauer, Dds, A Professional Corporation is 1114650207. It was assigned to this organization in the NPPES registry on July 6, 2022.

Where is Kenneth J. Bauer, Dds, A Professional Corporation located?

Kenneth J. Bauer, Dds, A Professional Corporation is located at 55 Mission Cir Ste 107, Santa Rosa, CA 95409. The listed phone number is (707) 538-1086.

What is Kenneth J. Bauer, Dds, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth J. Bauer, Dds, A Professional Corporation was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.