Provider Demographics
NPI:1134319213
Name:BAIRD, SOPHIE LIAMIDI (DDS, MSD)
Entity Type:Individual
Prefix:MRS
First Name:SOPHIE
Middle Name:LIAMIDI
Last Name:BAIRD
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:MS
Other - First Name:SOPHIE
Other - Middle Name:ADEBISSI
Other - Last Name:LIAMIDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8567 N SILVERBELL RD
Mailing Address - Street 2:#101
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7110
Mailing Address - Country:US
Mailing Address - Phone:520-744-2663
Mailing Address - Fax:520-744-9093
Practice Address - Street 1:8567 N SILVERBELL RD
Practice Address - Street 2:#101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7110
Practice Address - Country:US
Practice Address - Phone:520-744-2663
Practice Address - Fax:520-744-9093
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23500122300000X
AZ80281223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist