Merlyn Patricia Bauldie, DDS
Individual provider Active NPI Dentist · Newark, NY
NPI 1083744734 · NPPES record last updated Nov 7, 2007
Key facts
- NPI
- 1083744734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0494231 (NY)
- Practice address
- 703 E Maple Ave
Flddso Article 16 Clinic
Newark, NY 14513 - Phone
- (315) 331-1700
- Fax
- (315) 331-3946
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0494231 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0494231 | NY | Yes |
| General Practice Dentistry | 1223G0001X | 0494231 | NY |
Addresses
Primary practice location
703 E Maple Ave
Flddso Article 16 Clinic
Newark, NY 14513
Mailing address
PO Box 516
Naples, NY 14512
Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.