Female

Ms. Andrea L. Baumann DDS MS

Orthodontics and Dentofacial Orthopedic Dentist in West Memphis, AR(View on Map)

Full Name

Ms. Andrea Lou Baumann DDS MS

NPI Number

1013049634

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/09/2007

Specialties

(Taxonomies)

Code

1223X0400X

Primary Taxonomy

Yes

Licenses

State

California

License Number

DT034816

Contact
Information

Purpose

Mailing
Location

Address

460 TENNESSEE ST APT 301
126 W BOND AVE

City

Memphis
West Memphis

State

TN
AR

Postal Code

38103-4484
72301-3909

Country

US
US

Telephone Number

(951) 533-3563
(870) 735-7805

Identifiers

Identifier

4142
DT034816

Identifier State

AR
CA

Identifier Issuer

ARKANSAS STATE DENTAL LICENSE
DENTAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/25/2019

Provider Address

Other Orthodontics and Dentofacial Orthopedic Dentist in West Memphis, Arkansas:

Female

Kimberly Mcneal DMD

West Memphis, AR

Specialty: Orthodontics and Dentofacial Orthopedic Dentist (Primary)