Thomas Benjamin Baggett III, D.D.S.
Individual provider Active NPI General Practice Dentistry · Branson West, MO
NPI 1376797514 · NPPES record last updated Nov 14, 2008
Key facts
- NPI
- 1376797514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2007019210 (MO)
- Practice address
- 89 Notch Shopping Center Lane
Suite C
Branson West, MO 65737 - Phone
- (417) 338-4772
- Fax
- (417) 338-4774
- NPI assigned
- Nov 14, 2008
- Sex
- Male
- 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 |
|---|---|---|---|
| 2007019210 | MO | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2007019210 | MO | Yes |
Addresses
Primary practice location
89 Notch Shopping Center Lane
Suite C
Branson West, MO 65737
Mailing address
89 Notch Shopping Center Lane
Suite C
Branson West, MO 65737
Phone (417) 338-4772
Other providers in Branson West, MO
- Amanda Adkins
- Ascend Branson West LLC
- Elizabeth J Ballard
- Baraka Operating Company LLC
- Barker Family Vision Care LLC
- Sandra Sue Best
- Tyler James Betchwars
All providers in Branson West, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2008. 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.