Provider Demographics
NPI:1164431797
Name:BAUGHMAN, FRANK E (DDS)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:E
Last Name:BAUGHMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 SOUTH MIRAGE
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:CA
Mailing Address - Zip Code:93247
Mailing Address - Country:US
Mailing Address - Phone:559-562-5969
Mailing Address - Fax:559-562-2358
Practice Address - Street 1:233 SOUTH MIRAGE
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:CA
Practice Address - Zip Code:93247
Practice Address - Country:US
Practice Address - Phone:559-562-5969
Practice Address - Fax:559-562-2358
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19411122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice