Catherine Baitinger, DMD

Individual provider Active NPI General Practice Dentistry · Summerfield, FL

NPI 1972172872 · NPPES record last updated Jun 23, 2021

Key facts

NPI
1972172872
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN25959 (FL)
Practice address
16850 S US Highway 441 Ste 301
Summerfield, FL 34491-8657
Phone
(352) 419-0434
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN25959FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DN25959 FL Yes

Addresses

Primary practice location

16850 S US Highway 441 Ste 301
Summerfield, FL 34491-8657

Mailing address

14631 Wishing Wind Way
Clermont, FL 34711-6211
Phone (856) 404-7713

Other providers in Summerfield, FL

All providers in Summerfield, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.