Dr. Michael D Baine, D.M.D.
Dentist, General Practice in Suwanee, GA. Individual provider (NPI-1).
NPI number1639231145
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1639231145
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael D Baine
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN009997 | GA | Yes |
Practice location
3921 Johns Creek CtSuite A
Suwanee, GA 30024
Phone 678-990-5980 · Fax 678-990-5984
Mailing address
3921 Johns Creek CtSuite A
Suwanee, GA 30024
Phone 678-990-5980 · Fax 678-990-5984
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