Organization
JEFFREY D. BAIRD DMD PC
Active
Other names
ptdentist
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION V SULLEBARGER (OFFICE MANAGER)
(724) 744-2099
Entity
Organization
Contact information
Practice address
1075 HARRISON CITY EXPORT ROAD, SUITE 3, JEANNETTE, PA 15644
(724) 744-2099
Mailing address
1075 HARRISON CITY EXPORT ROAD, SUITE 3, JEANNETTE, PA 15644
(724) 744-2099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026919L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
575692
BLUE CROSS BLUE SHIELD
PA
Enumeration date
05/24/2007
Last updated
11/09/2007
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