Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Thomas Bauman, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1205089851

Dr. Michael Thomas Bauman, DMD is an Oral and Maxillofacial Surgery (Dentist) in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Arizona, Missouri, Utah and Washington.

Licensed in
AZ, MO, UT, WA
In the registry since
2008
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1400 SW Blvd Ste C
Jefferson City, MO 65109-2430
Phone: (573) 635-7216
Fax: (573) 635-2646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 2014041682 (MO)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D008751 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 82708249924 (UT)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DR 60035403 (WA)

Record details

NPI number1205089851
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 28, 2008
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address1400 Southwest Blvd Ste C, Jefferson City, MO 65109-2430

Other providers in Jefferson City