Individual provider · NPI-1

Dr. Michael Baldwin, D.D.S

Dentist · Puyallup, WA

NPI number1407305261
StatusActive
Last updated in NPPESJan 16, 2025

Details

NPI
1407305261
Entity type
Individual (NPI-1)
Name
Dr. Michael Baldwin
Credential
D.D.S
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2016
Certification date
Jan 16, 2025
Last updated
Jan 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist60581145WAYes

Practice location

8012 112th Street Ct E
#320
Puyallup, WA 98373-7856

Phone 253-848-2331

Mailing address

4664 67th Avenue Ct W
University Place, WA 98466-5612

Phone 253-272-4759

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 Puyallup, WA