Kenneth Roger Baumgartner is a Fort Bragg, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kenneth Roger Baumgartner is
34056 for General Practice Dentistry in California. His current practice location is
18175 N Highway One, Fort Bragg. Patients can reach him at
707-964-0440.
Kenneth Roger Baumgartner is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kenneth Roger Baumgartner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kenneth Roger Baumgartner |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 18175 N Highway One, Fort Bragg, California, 95437 |
| Phone: | 707-964-0440 |
| Fax: | 707-964-8373 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1205933926 |
| NPI Enumeration Date: | 17 Sep, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Roger Baumgartner are as mentioned below.
| License Number | Specialization | State | Status | |
| 34056 | General Practice Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Roger Baumgartner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| B34056 | Medicaid | California | |
| DS034056 | Other | | BCBS |
| 825575 | Other | | UNITED CONCORDIA |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 18175 N Highway One, Fort Bragg, California |
| Zip: | 95437 |
| Phone Number: | 707-964-0440 |
| Fax Number: | 707-964-8373 |
Patients can reach Kenneth Roger Baumgartner at
18175 N Highway One, Fort Bragg, California or can
call to book an appointment on 707-964-0440.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.