Provider Demographics
NPI:1962910398
Name:BAUMANN-SMEENGE, BETSEY JO (DDS MS)
Entity type:Individual
Prefix:DR
First Name:BETSEY
Middle Name:JO
Last Name:BAUMANN-SMEENGE
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Gender:F
Credentials:DDS MS
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Mailing Address - Street 1:1615 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:MI
Mailing Address - Zip Code:49304-7984
Mailing Address - Country:US
Mailing Address - Phone:231-745-2736
Mailing Address - Fax:231-745-0412
Practice Address - Street 1:1035 E WILCOX AVE
Practice Address - Street 2:
Practice Address - City:WHITE CLOUD
Practice Address - State:MI
Practice Address - Zip Code:49349-8794
Practice Address - Country:US
Practice Address - Phone:231-689-1608
Practice Address - Fax:231-689-3162
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2021-10-20
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Provider Licenses
StateLicense IDTaxonomies
MI29010224721223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice