Mark Richard Baus, DDS
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Tripler AMC, HI
NPI 1003893249 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1003893249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 6931 (CO)
- Practice address
- 1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000 - Phone
- (808) 433-1021
- Fax
- (808) 433-3928
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3807-015 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
| 6931 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3807-015 | WI | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6931 | CO | Yes |
Addresses
Primary practice location
1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Mailing address
1 Jarrett White Road
Attn: MCDS-NH US Army Dental Activity Hawaii
Tripler AMC, HI 96859-5000
Phone (808) 433-1021
Other providers in Tripler AMC, HI
- David Allan Barrows
- Branden Lee Bartlett
- Ruby Eva Bartolome
- Timothy Scott Batig
- Julie Anne Baunchalk
- James Glenn Beasley
- Sarah S Beasor
- Sandra J. Begley
- Charles Behnfield
- Crystal Louise Belew
All providers in Tripler AMC, HI · Oral and Maxillofacial Surgery (Dentist) in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.