Individual
JESSICA MICHELLE BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8677
SC
1223G0001X
General Practice Dentistry
8677
SC
1223P0221X
Pediatric Dentistry
058796-1
NY
1223P0221X
Pediatric Dentistry
Primary
11384
SC
1223P0221X
Pediatric Dentistry
12733
CT
1223P0221X
Pediatric Dentistry
22DI02891200
NJ
Other
Enumeration date
04/22/2015
Last updated
05/07/2026
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