JACK DAVITT BALDWIN (NPI# 1073779880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073779880 |
| Entity Type | Individual |
| Full Name | JACK DAVITT BALDWIN |
| Credential | D.D.S. |
| Practice Address |
4520 Centerville Rd Saint Paul MN 55127-3602 |
| Practice Telephone | 6514264799 |
| Practice Fax Number | 6514268106 |
| Mailing Telephone | 6514264799 |
| Mailing Fax Number | 6514268106 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12586 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710017389 | Jack Payte Baldwin | Dermatology | 304 University, #203, Marshall, TX 75670 | 2007-03-06 |
| Street Address |
4520 CENTERVILLE RD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55127-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295238178 | Modern Dental Professionals Minnesota PC | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2018-03-16 |
| 1285084954 | North Suburban Optical | Eyewear Supplier (Equipment, not the service) | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2016-06-14 |
| 1972950814 | Edina Eye Physicians and Surgeons Pa | Ophthalmology | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2016-05-20 |
| 1013330521 | Pipe Trade Health Care Services | Family Medicine | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2014-02-04 |
| 1770877268 | Riley Bosch | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2011-06-02 |
| 1942407432 | Lifesteps Family Physicians | Family Medicine | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-06-28 |
| 1043435951 | Northeast Dental, P.a. | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-04-16 |
| 1376669895 | Claudia De Llano | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-03-22 |
| 1689715237 | Christopher Michael Chmiel | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-02-08 |
| 1922149566 | Robert Lee Keifer | Dentist | 4520 Centerville Rd, Saint Paul, MN 55127-3602 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| Find all providers in zip 55127 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236976 | Kyndra Kae Weber | Dentist | 405 Sibley St Ste 240, Saint Paul, MN 55101-2976 | 2019-07-09 |
| 1376101253 | Sammy Louis Gueringer II | Dentist | 1651 Dale St N, Saint Paul, MN 55117-3414 | 2019-06-05 |
| 1659881944 | Dentists of Highland Park, PC | Dentist | 2096 Ford Pkwy, Saint Paul, MN 55116-1813 | 2017-10-02 |
| 1245750397 | Ryan Daniel Howley | Dentist | 2221 Ford Pkwy Ste 201, Saint Paul, MN 55116-3857 | 2017-06-20 |
| 1134652746 | Shana Bell | Dentist | 1871 Old Hudson Rd Ste 1, Saint Paul, MN 55119-4392 | 2017-04-10 |
| 1316395965 | Lisa Eileen Mcgann | Dentist | 757 Cleveland Ave S Ste 2, Saint Paul, MN 55116-1301 | 2016-05-24 |
| 1851771984 | Kola Xiong | Dentist | 555 Wabasha St N Ste 250, Saint Paul, MN 55102-1673 | 2015-06-03 |
| 1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
| 1871994095 | Anita Xiong | Dentist | 947 County Road D E, Apt 103, Saint Paul, MN 55109-5290 | 2014-09-08 |
| 1336554906 | Ejike Bartholomew Ezeja | Dentist | 1609 Norman Rd Ste B, Aspen Dental, Saint Paul, GA 31601-4201 | 2014-06-23 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.