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Jessica Baisley
Pediatric Dentist in Santa Rosa, California
NPI 1497319222

Jessica Baisley is a Pediatric Dentist based in Richmond, CA and is specialized in Pediatric Dentistry. Jessica Baisley practices in Santa Rosa, CA. The NPI Number for Jessica Baisley is 1497319222 and holds a License No. 104711 (California).

The current practice location address for Jessica Baisley is 1300 N Dutton Ave, Santa Rosa, CA and can be reached out via phone at 707-396-5151. You can also correspond with Jessica Baisley through the mailing address at 3375 PARKGATE CT, RICHMOND, CA - 94806-1989 (mailing address contact number: 510-367-0744).

Location: 1300 N Dutton Ave, Santa Rosa, CA, 94806-1989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497319222
Provider Name
Jessica Baisley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1300 N Dutton Ave, Santa Rosa, CA, 94806-1989
Phone Number
707-396-5151
Fax Number
Provider Enumeration Date
04/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-0058
Phone Number
707-396-5151
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-0058
Phone Number
707-396-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
104711 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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