Jade Bauer, DDS
Individual provider Active NPI Dentist · Tecumseh, OK
NPI 1629912480 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1629912480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 8247 (OK)
- Practice address
- 712 N Broadway St
Tecumseh, OK 74873-1414 - Phone
- (405) 598-9398
- NPI assigned
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tecumseh Family Dentistry PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8247 | OK | Yes |
Addresses
Primary practice location
712 N Broadway St
Tecumseh, OK 74873-1414
Mailing address
712 N Broadway St
Tecumseh, OK 74873-1414
Phone (405) 598-9398
Other providers in Tecumseh, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 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.