Provider Demographics
NPI:1982808267
Name:BAYLIN, MICHAEL A (DDS PA)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:BAYLIN
Suffix:
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655A OLD COURT RD
Mailing Address - Street 2:SUITE #8
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-484-5266
Mailing Address - Fax:410-484-6606
Practice Address - Street 1:3655A OLD COURT RD
Practice Address - Street 2:SUITE 8
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-484-5266
Practice Address - Fax:410-484-6606
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4133122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR027OtherBCBS