Provider Demographics
NPI:1053295899
Name:BALDWIN, ABIGAIL CASTLE (DMD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:CASTLE
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 1:69 ATWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-4564
Mailing Address - Country:US
Mailing Address - Phone:360-710-5124
Mailing Address - Fax:
Practice Address - Street 1:6800 PITTSFORD PALMYRA RD STE 110
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-3514
Practice Address - Country:US
Practice Address - Phone:585-223-5330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0647381223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics