Provider Demographics
NPI:1225722895
Name:BAIG, AYESHA (DMD)
Entity type:Individual
Prefix:
First Name:AYESHA
Middle Name:
Last Name:BAIG
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:AYESHA
Other - Middle Name:
Other - Last Name:BAIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:32503 FLY FISH WAY
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-2682
Mailing Address - Country:US
Mailing Address - Phone:309-360-1790
Mailing Address - Fax:
Practice Address - Street 1:9722 GASTON RD STE 160
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7941
Practice Address - Country:US
Practice Address - Phone:309-694-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0342911223G0001X
TX41215122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice