Provider Demographics
NPI:1700098506
Name:BAUM, IRA J (DDS)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:J
Last Name:BAUM
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1300 STATE ROUTE 35
Mailing Address - Street 2:PLAZA ONE
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3537
Mailing Address - Country:US
Mailing Address - Phone:732-531-4411
Mailing Address - Fax:732-531-3350
Practice Address - Street 1:1300 STATE ROUTE 35
Practice Address - Street 2:PLAZA ONE
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3537
Practice Address - Country:US
Practice Address - Phone:732-531-4411
Practice Address - Fax:732-531-3350
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJDI155031223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics