Individual provider · NPI-1

Mariah Kathlyn Baldwin, DMD

Dentist · Medford, OR

NPI number1174107478
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1174107478
Entity type
Individual (NPI-1)
Name
Mariah Kathlyn Baldwin
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
May 12, 2021
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD11791ORYes
122300000X DentistDDS-09880IA

Practice location

1113 Progress Dr
Medford, OR 97504

Phone 541-512-3900

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Phone 541-535-6239

Other practice locations

33 4th St Nw
Sioux Center, IA 51250-1870

Phone 712-722-1700

4940 Hamrick Rd
Central Point, OR 97502

Phone 541-512-3900

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Medford, OR