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Ksenia G. Baxter, DMD
Periodontist in Bethel, Connecticut
NPI 1467749283

Ksenia G. Baxter is a Periodontist based in Bethel, CT and is specialized in Periodontics. Ksenia G. Baxter practices in Bethel, CT and has the professional credentials of DMD. The NPI Number for Ksenia G. Baxter is 1467749283 and holds a License No. (Connecticut).

The current practice location address for Ksenia G. Baxter is 2 Stony Hill Rd, Bethel, CT and can be reached out via phone at 203-792-2263.

Location: 2 Stony Hill Rd, Bethel, CT, 06801-1063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467749283
Provider Name
Ksenia G. Baxter
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2 Stony Hill Rd, Bethel, CT, 06801-1063
Phone Number
203-792-2263
Fax Number
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004011136 05 CT
institution
Provider Business Practice Location Address Details
Address
2 Stony Hill Rd
City
Bethel
State
Connecticut
Zip
06801
Phone Number
203-792-2263
Fax Number
person
Provider Business Mailing Address Details
Address
2 Stony Hill Rd
City
Bethel
State
Connecticut
Zip
06801
Phone Number
203-792-2263
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10812 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
10812 (Connecticut)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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