Provider Demographics
NPI:1992990428
Name:BAIG, ADILA S (DDS)
Entity type:Individual
Prefix:DR
First Name:ADILA
Middle Name:S
Last Name:BAIG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SCOTT ADAM ROAD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030
Mailing Address - Country:US
Mailing Address - Phone:410-666-8668
Mailing Address - Fax:410-666-8669
Practice Address - Street 1:54 SCOTT ADAM ROAD
Practice Address - Street 2:SUITE 308
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030
Practice Address - Country:US
Practice Address - Phone:410-666-8668
Practice Address - Fax:410-666-8669
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist