Provider Demographics
NPI:1295863413
Name:BALDY, MAUREEN T (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:T
Last Name:BALDY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3920 AIRPORT BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2207
Mailing Address - Country:US
Mailing Address - Phone:251-342-3323
Mailing Address - Fax:251-342-3325
Practice Address - Street 1:3920 AIRPORT BLVD
Practice Address - Street 2:STE B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2207
Practice Address - Country:US
Practice Address - Phone:251-342-3323
Practice Address - Fax:251-342-3325
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL41411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry