MEDICARE: DR. SCOTT LOUIS BAYLIN D.D.S

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	1223G0001X	General Practice Dentistry	12861	MD

General Provider Information

NPI Number	:	1447348529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT LOUIS BAYLIN D.D.S

Provider Business Mailing Address
First Line	:	616 FREDERICK RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4625
Country	:	US
Telephone Number	:	410-747-1115
Fax Number	:	410-747-2336

Provider Business Practice Location Address
First Line	:	616 FREDERICK RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4625
Country	:	US
Telephone Number	:	410-747-1115
Fax Number	:	410-747-2336

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	07/08/2007

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