Baldock, William T.

Baldock, William T. is an sole proprietor health care provider with primary practice located at 2621 Mitcham Dr Suite 101, Tallahassee FL 32308-5480. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Baldock, William T. can be contacted via phone (850) 942-8111.

Contact Information

Primary practice address
2621 Mitcham Dr Suite 101 Tallahassee FL 32308-5480
Fax: (850) 942-8114
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6719 Florida

Profile Details

NPI number 1467463315
LBN Legal business name Baldock, William T.
Credentials D.D.S.,M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Oct 27th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467463315 NPPES
Florida Other 85524 BLUE CROSS BLUE SHIELD
Florida Other 145069 BLUE CROSS BLUE SHIELD

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