Provider Demographics
NPI:1265573513
Name:BAUMANN, CRAIG A (DDS)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
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:N97 W17095 DIVISION RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022
Mailing Address - Country:US
Mailing Address - Phone:262-251-1669
Mailing Address - Fax:262-251-1583
Practice Address - Street 1:N97 W17095 DIVISION RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:WI
Practice Address - Zip Code:53022
Practice Address - Country:US
Practice Address - Phone:262-251-1669
Practice Address - Fax:262-251-1583
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5001700-015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist