JUSTIN BAUMLER (NPI# 1376096396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376096396 |
| Entity Type | Individual |
| Full Name | JUSTIN BAUMLER |
| Credential | DMD |
| Practice Address |
606 Riverside Ave St Charles IL 60174-2969 |
| Practice Telephone | 6305845920 |
| Mailing Telephone | 6305845920 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
319.020067 | IL | Dental Providers |
| Street Address |
606 RIVERSIDE AVE |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699896498 | Kenneth J Liesen | Family Medicine | 606 Riverside Ave, St Charles, IL 60174-2969 | 2007-04-02 |
| 1932552775 | Comprehensive Dentistry | Clinic/Center | 606 Riverside Ave, Suite C, St Charles, IL 60174-2969 | 2016-07-17 |
| 1124223763 | Kenneth J Liesen Md Sc | Family Medicine | 606 Riverside Ave, St Charles, IL 60174-2969 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053896183 | Teuscher Dental | Dentist | 40w320 Lafox Rd Ste D, St Charles, IL 60175-6545 | 2018-09-25 |
| 1134442304 | St..charles Modern Dental LLC | Dentist | 855 S Randall Rd, St Charles, IL 60174-1570 | 2010-03-02 |
| 1437287307 | Steven John Baginski | Dentist | 804 S 3rd St, St Charles, IL 60174-4053 | 2007-03-01 |
| 1003959172 | Robert W Overdorf Dds, Ltd | Dentist | 11 S 2nd Ave, Suite 11, St Charles, IL 60174-1941 | 2007-02-15 |
| 1942350541 | Keven P Arnold | Dentist | 2020 Dean St Ste C, St Charles, IL 60174-1665 | 2007-01-12 |
| 1932266616 | Bryan R. Cichon | Dentist | 700 S Randall Rd, Suite #1, St Charles, IL 60174-5916 | 2007-01-02 |
| 1760542393 | James Paul Edmonds | Dentist | 1100 W Main St Ste B, St Charles, IL 60174-1768 | 2006-12-12 |
| 1417031550 | Edmund A Lipskis | Dentist | 516 E Main St, St Charles, IL 60174-2133 | 2006-10-25 |
| 1447347125 | Paul Maco, D.d.s., P.C. | Dentist | 202 S. Kirk Rd., St Charles, IL 60174-2429 | 2006-10-06 |
| 1891888061 | Wayne D Olson | Dentist | 1008 Country Club Rd, St Charles, MO 63303 | 2006-10-02 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.