Provider Demographics
NPI:1780180117
Name:KLEIN, BAILEY CHRISTINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:BAILEY
Middle Name:CHRISTINE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4903 WILLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KIMBALL
Mailing Address - State:MI
Mailing Address - Zip Code:48074-1554
Mailing Address - Country:US
Mailing Address - Phone:810-841-8799
Mailing Address - Fax:
Practice Address - Street 1:4903 WILLINGTON AVE
Practice Address - Street 2:
Practice Address - City:KIMBALL
Practice Address - State:MI
Practice Address - Zip Code:48074-1554
Practice Address - Country:US
Practice Address - Phone:810-841-8799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010225361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice