MEDICARE: DR. RHONDA MICHELLE BALDWIN D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	19974	OH

General Provider Information

NPI Number	:	1245324227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHONDA MICHELLE BALDWIN D.M.D.

Provider Business Mailing Address
First Line	:	160 NORTH ST
Second Line	:	PO BOX 658
City	:	WAYNESVILLE
State	:	OH
Zip	:	45068-9562
Country	:	US
Telephone Number	:	513-897-3991
Fax Number	:	513-897-3992

Provider Business Practice Location Address
First Line	:	160 NORTH ST
Second Line	:
City	:	WAYNESVILLE
State	:	OH
Zip	:	45068-9562
Country	:	US
Telephone Number	:	513-897-3991
Fax Number	:	513-897-3992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	01/28/2014

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