Provider Demographics
NPI:1891868378
Name:BAERG, STEVEN DANIEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:DANIEL
Last Name:BAERG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2727 HOLLYCROFT ST
Mailing Address - Street 2:SUITE 370
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1305
Mailing Address - Country:US
Mailing Address - Phone:253-858-9660
Mailing Address - Fax:253-858-9603
Practice Address - Street 1:2727 HOLLYCROFT ST
Practice Address - Street 2:SUITE 370
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1305
Practice Address - Country:US
Practice Address - Phone:253-858-9660
Practice Address - Fax:253-858-9603
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA83871223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics