Provider Demographics
NPI:1558430702
Name:DR. FRANCIS A. BALD AND ASSOCIATES
Entity Type:Organization
Organization Name:DR. FRANCIS A. BALD AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:BALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-441-4300
Mailing Address - Street 1:2224 S CROATAN HWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-8813
Mailing Address - Country:US
Mailing Address - Phone:252-441-4300
Mailing Address - Fax:252-441-6684
Practice Address - Street 1:2224 S CROATAN HWY
Practice Address - Street 2:SUITE 7
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8813
Practice Address - Country:US
Practice Address - Phone:252-441-4300
Practice Address - Fax:252-441-6684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC47451223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0219WOtherBLUE CROSS BLUE SHIELD
NC852983OtherUNITED CONCORDIA
NC890219WMedicaid
NC890219WMedicaid