Provider Demographics
NPI:1194094144
Name:BAIRD, MARTA (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:MARTA
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5924 STONERIDGE DR STE 203
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-5400
Mailing Address - Country:US
Mailing Address - Phone:925-298-4400
Mailing Address - Fax:925-271-2571
Practice Address - Street 1:5924 STONERIDGE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2887
Practice Address - Country:US
Practice Address - Phone:925-298-4400
Practice Address - Fax:925-271-2571
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA574061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics