Individual
ROBERT THOMAS BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
308 BEDELL AVE, WOODBINE, GA 31569-0488
(912) 576-5506
(912) 576-5888
Mailing address
PO BOX 488, WOODBINE, GA 31569-0488
(912) 576-5506
(912) 576-5888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9525
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000794323
TRICARE/UNITED CONCORDIA
GA
05
—
00244835A
—
GA
01
—
9180224
DORAL DENTAL USA LLC
GA
Enumeration date
09/02/2006
Last updated
01/30/2013
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