Provider Demographics
NPI:1245324227
Name:BALDWIN, RHONDA MICHELLE (DMD)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:MICHELLE
Last Name:BALDWIN
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 1:160 NORTH ST
Mailing Address - Street 2:PO BOX 658
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068-9562
Mailing Address - Country:US
Mailing Address - Phone:513-897-3991
Mailing Address - Fax:513-897-3992
Practice Address - Street 1:160 NORTH ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:OH
Practice Address - Zip Code:45068-9562
Practice Address - Country:US
Practice Address - Phone:513-897-3991
Practice Address - Fax:513-897-3992
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH199741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics