Provider Demographics
NPI:1114017209
Name:BAUMAN, ERIC FREDERICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:FREDERICK
Last Name:BAUMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 CENTER DR RM D1-11
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3006
Mailing Address - Country:US
Mailing Address - Phone:352-273-7954
Mailing Address - Fax:352-392-4070
Practice Address - Street 1:1395 CENTER DR RM D1-11
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3006
Practice Address - Country:US
Practice Address - Phone:352-273-7954
Practice Address - Fax:352-392-4070
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD8840122300000X
FLDN24628122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist