George James Bauries II, DMD
Individual provider Active NPI General Practice Dentistry · Rome, NY
NPI 1275726705 · NPPES record last updated Apr 3, 2012
Key facts
- NPI
- 1275726705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 043909-1 (NY)
- Practice address
- 800 Black River Blvd.
Rome, NY 13440 - Phone
- (315) 533-6690
- NPI assigned
- Aug 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 043909-1 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 043909-1 | NY | Yes |
Addresses
Primary practice location
800 Black River Blvd.
Rome, NY 13440
Mailing address
800 Black River Blvd.
Rome, NY 13440
Phone (315) 533-6690
Other providers in Rome, NY
- Ronald Barnett
- Jennifer Barone
- Jamie Barton
- Jan Bass
- Heather Ann Bates
- Beatrice Bayona
- Jessica Beckwith
- Kaitlyn Louise Benedetto
- Christina Marie Benn
- Marc C. Berardino
All providers in Rome, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2012. 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.