Dr. Kingsley E Baldwin III

Dentist, General Practice in Boardman, OH. Individual provider (NPI-1).

NPI number1205908183

StatusActive

Last updated in NPPESOct 31, 2016

Details

NPI: 1205908183
Entity type: Individual (NPI-1)
Name: Dr. Kingsley E Baldwin III
Sex: Male
Sole proprietor: No
Enumeration date: Nov 15, 2006
Last updated: Oct 31, 2016

Medicare and OIG

Medicare enrolled (PECOS): Yes · ORDER AND REFERRING ONLY - DENTIST
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	30-022397	OH	Yes

Practice location

6540 South Ave
Boardman, OH 44512-3651

Phone 330-758-5547

Mailing address

6540 South Ave
Boardman, OH 44512-3651

Phone 330-758-5547

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 General Practice Dentistry providers in Boardman, OH

All 23 General Practice Dentistry providers in Boardman · All 1,424 providers in Boardman

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check