Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356506596 Individual Practitioner Male Practitioner

Dr. Kenneth James Bauer , DDS

Dentist - General Practice • Santa Rosa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bauer, DDS is a registered healthcare professional specializing in Dentist - General Practice in Santa Rosa, CA. Practice services are available at 55 MISSION CIR STE 107 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Mission Cir Ste 107

Santa Rosa, CA 954095372

Telephone 7075381086
Fax 7075380934
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
116 Specialists

Practicing in Santa Rosa, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 34668

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2008

Registered at 55 MISSION CIR STE 107, SANTA ROSA, CA 954095372 (Tel: 7075381086)

📍
Updated Business Mailing Address July 28, 2008

Registered at 55 MISSION CIR STE 107, SANTA ROSA, CA 954095372 (Tel: 7075381086)

👤
Provider Name / Credentials Updated July 28, 2008

Recorded as KENNETH BAUER, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2008

Dentist (License #34668 in CA)

🟢
Initial NPI Registration & Enumeration July 28, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356506596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2008
Last Update: July 28, 2008
Sole Proprietor: Yes

Mailing Address

55 Mission Cir Ste 107

Santa Rosa, CA 954095372

Phone: 7075381086

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.