Provider Demographics
NPI:1316032485
Name:BAIRD, DANNY PAUL IV (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:PAUL
Last Name:BAIRD
Suffix:IV
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 1:4020 FM 2181
Mailing Address - Street 2:
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-7526
Mailing Address - Country:US
Mailing Address - Phone:940-321-2088
Mailing Address - Fax:940-497-3225
Practice Address - Street 1:4020 FM 2181
Practice Address - Street 2:
Practice Address - City:HICKORY CREEK
Practice Address - State:TX
Practice Address - Zip Code:75065-7526
Practice Address - Country:US
Practice Address - Phone:940-321-2088
Practice Address - Fax:940-497-3225
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX150101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice