Provider Demographics
NPI:1689857914
Name:BAIRD, DAVID L (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
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 1:820 S PINES RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5594
Mailing Address - Country:US
Mailing Address - Phone:509-924-8200
Mailing Address - Fax:509-924-4549
Practice Address - Street 1:820 S PINES RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5594
Practice Address - Country:US
Practice Address - Phone:509-924-8200
Practice Address - Fax:509-924-4549
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3898122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist