Individual
DR. MICHAEL ORRIN BAIRD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 S HIGHWAY 69, SUITE #5, DEWEY, AZ 86327-9502
(928) 632-8333
(928) 632-5537
Mailing address
150 S HIGHWAY 69, SUITE #5, DEWEY, AZ 86327-9502
(928) 632-8333
(928) 632-5537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6645
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
957516
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
06/12/2006
Last updated
07/08/2007
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