Provider Demographics
NPI:1609074798
Name:BAER, HILARY ELKA (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:ELKA
Last Name:BAER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 WINDING RIVER CIR
Mailing Address - Street 2:#106
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:369 WINDING RIVER CIR
Practice Address - Street 2:#106
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2900
Practice Address - Country:US
Practice Address - Phone:901-603-8845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000086251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice