Baines Dental, LLC
NPI #1366916272 in Springfield, Illinois
Provider Information
- NPI Number
- 1366916272
- Entity Type
- Organization
- Organization Name
- Baines Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 14, 2019
- Last Updated
- Jan 14, 2019
Practice Location
- Address
- 1112 RICKARD RD STE A
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-1021
- Phone
- (217) 698-9300
Authorized Official
- Name
- MRS. SHAY L CRAWFORD
- Title
- OFFICE MANAGER
- Phone
- (217) 698-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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