Provider Demographics
NPI:1891083788
Name:BAIRD, DALE FENTON JR (DC)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:FENTON
Last Name:BAIRD
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3889 W 103RD DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2453
Mailing Address - Country:US
Mailing Address - Phone:303-601-8117
Mailing Address - Fax:303-265-9477
Practice Address - Street 1:3889 W 103RD DR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2453
Practice Address - Country:US
Practice Address - Phone:303-601-8117
Practice Address - Fax:303-265-9477
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1474111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist