Individual
NADER J BAYDOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6950 SCHAEFER RD STE A, DEARBORN, MI 48126-4503
(313) 584-3210
Mailing address
24510 FORD RD, DEARBORN HEIGHTS, MI 48127-3110
(313) 561-2100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019741
MI
122300000X
Dentist
50441
CA
1223G0001X
General Practice Dentistry
2901019741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255577409
NPPES
MI
Enumeration date
12/18/2008
Last updated
04/23/2019
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