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General NPI Number Information
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NPI Number | 1023440120
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Entity Type | Organization
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Legal Business Name | SOPHIE L. BAIRD DDS, PLLC
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 2096 N KOLB RD SUITE 108
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City | TUCSON
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State | AZ
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Zip | 85715
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Country | US
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Telephone | 520-748-7073
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Fax | 520-777-7372
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Provider Business Mailing Address
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Address Line | 2096 N KOLB RD SUITE 108
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City | TUCSON
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State | AZ
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Zip | 85715
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Country | US
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Telephone | 520-748-7073
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Fax | 520-777-7372
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Authorized Official
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Title or Position | PRESIDENT
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Name | SOPHIE LIAMIDI BAIRD
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Credential | DDS
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Telephone | 832-724-7898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8028
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License Number State | AZ
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