Provider Demographics
NPI:1215024815
Name:BAIRD, SCOTT C (DMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:BAIRD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:720 COWPER ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2602
Mailing Address - Country:US
Mailing Address - Phone:650-328-6622
Mailing Address - Fax:650-328-9970
Practice Address - Street 1:720 COWPER ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2602
Practice Address - Country:US
Practice Address - Phone:650-328-6622
Practice Address - Fax:650-328-9970
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0362241223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery