Edward F. Baines, D.d.s., P.a.

NPI #1063534402 in Indialantic, Florida

Provider Information

NPI Number: 1063534402
Entity Type: Organization
Organization Name: Edward F. Baines, D.d.s., P.a.
Primary Specialty: Dentist - Periodontics
Enumeration Date: Apr 5, 2007
Last Updated: Mar 21, 2008

Practice Location

Address: 140 6TH AVE
City: Indialantic
State: Florida
ZIP Code: 32903-3204
Phone: (321) 951-1577

Authorized Official

Name: DR. EDWARD FLOYD BAINES, D.D.S.
Title: PRESIDENT
Phone: (321) 951-1577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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