IndividualActive
Justin Bauer, DMD
NPI 1477009678 · Public Health Dentistry · Brigham City, UT
Provider details
- NPI number
- 1477009678
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 10144761-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
241 W Forest St
Brigham City, UT 84302
Phone: (435) 723-6120
Approximate (ZIP-level) locationGet directions
Mailing address
241 W Forest St
Brigham City, UT 84302-2022
Additional practice locations (1)
- 601 E Broadway StCushing, OK 74023-3432Phone: (918) 285-5500
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2019-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.