# DR. MICHELLE KELLY PHILLIPS BAIRD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114249091
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 59136 | CA | — |
| 122300000X | Dentist | DS039987 | PA | — |
| 1223G0001X | General Practice Dentistry | 05039987 | PA | Yes |

## Other

- **Enumeration date:** 02/19/2010
- **Last updated:** 01/28/2022