OrganizationActive
Bauman Ventures LLC
NPI 1710716147 · Dental Clinic/Center · Fridley, MN
Provider details
- NPI number
- 1710716147
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Bauman, Owner(763) 614-0454
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1099 Moore Lake Dr E
Fridley, MN 55432-5153
Phone: (763) 614-0454
Approximate (ZIP-level) locationGet directions
Mailing address
4061 Kokanee Ln N
Lake Elmo, MN 55042-4001
Other names (DBA / former)
- Doing business as
- Dentistry for the Entire Family
Registry dates
- Enumerated
- 2024-08-01
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.