1356431977 NPI number — DR. JILL SUSAN BALDINGER DMD

Table of content: DR. JILL SUSAN BALDINGER DMD (NPI 1356431977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356431977 NPI number — DR. JILL SUSAN BALDINGER DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BALDINGER
Provider First Name:
JILL
Provider Middle Name:
SUSAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356431977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1207 HARBOR ISLAND WALK
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21230-5461
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-534-8224
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2029 SUFFOLK RD.
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
FINKSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-861-3001
Provider Business Practice Location Address Fax Number:
410-861-8744
Provider Enumeration Date:
10/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  12226 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com