Provider Demographics
NPI:1316949142
Name:BAIRD, JEFFREY D (DMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:D
Last Name:BAIRD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 HARRISON CITY EXPORT RD
Mailing Address - Street 2:SUITE #3
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4309
Mailing Address - Country:US
Mailing Address - Phone:724-744-2099
Mailing Address - Fax:724-744-3030
Practice Address - Street 1:1075 HARRISON CITY EXPORT RD
Practice Address - Street 2:SUITE #3
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4309
Practice Address - Country:US
Practice Address - Phone:724-744-2099
Practice Address - Fax:724-744-3030
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2016-10-24
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
PADS026919L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2211OtherDORAL
PA575692OtherUNITED CONCORDIA