Hal Bawden
Dentist in Montezuma Creek, UT. Individual provider (NPI-1).
NPI number1104129550
StatusActive
Last updated in NPPESSep 11, 2012
Details
- NPI
- 1104129550
- Entity type
- Individual (NPI-1)
- Name
- Hal Bawden
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 7, 2010
- Last updated
- Sep 11, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3727839922 | UT | Yes |
Practice location
East Highway 262Montezuma Creek, UT 84534
Phone 435-651-3700 · Fax 435-651-3376
Mailing address
Po Box 130Montezuma Creek, UT 84511
Phone 435-651-3291
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Other Dentist providers in Montezuma Creek, UT
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