Baisley, Jessica

Baisley, Jessica is an sole proprietor health care provider with primary practice located at 1300 N Dutton Ave , Santa Rosa CA 95401-0058. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Baisley, Jessica can be contacted via phone (707) 396-5151.

Contact Information

Primary practice address
1300 N Dutton Ave Santa Rosa CA 95401-0058
Phone: (707) 396-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 104711 California

Profile Details

NPI number 1497319222
LBN Legal business name Baisley, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2019
Last updated Jul 30th, 2023 - about 2 years ago

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.

Request for update

Popular Providers