Provider Demographics
NPI:1255531844
Name:BAIRD, ROBERT ORRIN (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ORRIN
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 1:3431 S BOULEVARD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-5514
Mailing Address - Country:US
Mailing Address - Phone:405-844-8887
Mailing Address - Fax:405-844-9625
Practice Address - Street 1:3431 S BOULEVARD ST STE 102
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5514
Practice Address - Country:US
Practice Address - Phone:405-844-8887
Practice Address - Fax:405-844-9625
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5935122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist