Doctor Name: | DR. DAVID GUNTER BAUGHMAN |
NPI Number: | 1275538191 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS/MD |
License Number: | 024890 |
Business Practice Address: | 1608 Polk St Houma, LA - 703606011 |
Business Phone Number: | 9858791972 |
Business Fax Number: | 9858794661 |
Mailing Address: | 1608 Polk St, HOUMA |
State: | LA |
Postal Code: | 703606011 |
Phone Number: | 9858791972 |
Fax Number: | 9858794661 |
NPI Enumeration Date: | 06/16/2005 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | 024890 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |