Gene Mark Baines, D.M.D. Valid NPI
Individual provider · General Practice Dentistry · Greenwood, MS
- NPI
- 1396748067
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- MS1905-80 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2005-05-24
- Last updated
- 2012-08-30
Practice location
509 Highway 82 W
Greenwood, MS 38930-5053
(662) 455-3192