Provider Demographics
NPI:1104500560
Name:CATHERINE BAITINGER DMD, PLLC
Entity type:Organization
Organization Name:CATHERINE BAITINGER DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:BAITINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:352-307-3006
Mailing Address - Street 1:16850 S. US 441
Mailing Address - Street 2:SUITE #301
Mailing Address - City:SUMMERFIELD
Mailing Address - State:FL
Mailing Address - Zip Code:34491-8657
Mailing Address - Country:US
Mailing Address - Phone:352-307-3006
Mailing Address - Fax:352-307-2070
Practice Address - Street 1:16850 S. US 441
Practice Address - Street 2:SUITE #301
Practice Address - City:SUMMERFIELD
Practice Address - State:FL
Practice Address - Zip Code:34491-8657
Practice Address - Country:US
Practice Address - Phone:352-307-3006
Practice Address - Fax:352-307-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty