Provider Demographics
NPI:1558632190
Name:BAIER, APRIL SUSAN (DMD)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:SUSAN
Last Name:BAIER
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 1:639 W BRIAR PL
Mailing Address - Street 2:UNIT 4E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-9448
Mailing Address - Country:US
Mailing Address - Phone:716-480-1769
Mailing Address - Fax:
Practice Address - Street 1:639 W BRIAR PL
Practice Address - Street 2:UNIT 4E
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-9448
Practice Address - Country:US
Practice Address - Phone:716-480-1769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0287591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice