Baeder, Andrea

Baeder, Andrea is an individual health care provider with primary practice located at 10590 Enduring Freedom Dr , Fort Drum NY 13602-5503. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Baeder, Andrea can be contacted via phone (315) 772-5576.

Contact Information

Primary practice address
10590 Enduring Freedom Dr Fort Drum NY 13602-5503
Phone: (315) 772-5576
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1001811-15 Wisconsin
Dental Providers / General Practice 1223G0001X 1001811-15 Wisconsin

Profile Details

NPI number 1417434341
LBN Legal business name Baeder, Andrea
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2018
Last updated Mar 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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