Provider Demographics
NPI:1437491537
Name:BAUMANN, RONALD JAKOB (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAKOB
Last Name:BAUMANN
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 1:1150 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-9718
Mailing Address - Country:US
Mailing Address - Phone:419-525-4455
Mailing Address - Fax:419-522-4413
Practice Address - Street 1:1150 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-9718
Practice Address - Country:US
Practice Address - Phone:419-525-4455
Practice Address - Fax:419-522-4413
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-018008122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist