Provider Demographics
NPI:1871691873
Name:BRIAN C BAIRD DDS & ROBIN F BAIRD DDS PC
Entity type:Organization
Organization Name:BRIAN C BAIRD DDS & ROBIN F BAIRD DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST SEC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:979-830-8811
Mailing Address - Street 1:1406 S DAY ST
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-4567
Mailing Address - Country:US
Mailing Address - Phone:979-830-8811
Mailing Address - Fax:979-830-5275
Practice Address - Street 1:1406 S DAY ST
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-4567
Practice Address - Country:US
Practice Address - Phone:979-830-8811
Practice Address - Fax:979-830-5275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX166831223G0001X
TX166821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16683OtherINSURANCE
TX16682OtherINSURANCE