Provider Demographics
NPI:1619859972
Name:TWIN OAKS DENTAL LLC
Entity type:Organization
Organization Name:TWIN OAKS DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:BAUMGARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-508-1050
Mailing Address - Street 1:118007 BETTY DR
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54484-8026
Mailing Address - Country:US
Mailing Address - Phone:515-508-1050
Mailing Address - Fax:515-508-1050
Practice Address - Street 1:6301 N OAK TRFY STE 201
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-4752
Practice Address - Country:US
Practice Address - Phone:816-413-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty