Provider Demographics
NPI:1275754897
Name:BAIRD, ROBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:BAIRD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121628 S 215TH PL
Mailing Address - Street 2:SUITE 108A
Mailing Address - City:QUEEN CREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85142
Mailing Address - Country:US
Mailing Address - Phone:602-228-6120
Mailing Address - Fax:928-763-6813
Practice Address - Street 1:21628 S 215TH PL
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-5969
Practice Address - Country:US
Practice Address - Phone:602-228-6120
Practice Address - Fax:928-763-6813
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD3670122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist