# JEFFREY D. BAIRD DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ptdentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558572396
- **Authorized official:** MRS. MARION V SULLEBARGER (OFFICE MANAGER)
- **Authorized official phone:** (724) 744-2099

## Contact information

- **Practice address:** 1075 HARRISON CITY EXPORT ROAD, SUITE 3, JEANNETTE, PA 15644
- **Practice address phone:** (724) 744-2099
- **Mailing address:** 1075 HARRISON CITY EXPORT ROAD, SUITE 3, JEANNETTE, PA 15644
- **Mailing address phone:** (724) 744-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS026919L | PA | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 11/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 575692 | BLUE CROSS BLUE SHIELD | PA |