Healthcare Provider Details

I. General information

NPI: 1124910120
Provider Name (Legal Business Name): KAMARVEER SINGH BAIDWAN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 NORTHWOOD AVE
EASTON PA
18045-8313
US

IV. Provider business mailing address

902 W HAMILTON ST APT 344
ALLENTOWN PA
18101-1324
US

V. Phone/Fax

Practice location:
  • Phone: 610-258-0091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045648
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: