MEDICARE: RALPH K BAIR DDS, MSD

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	137384	UT

General Provider Information

NPI Number	:	1003822032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH K BAIR DDS, MSD

Provider Business Mailing Address
First Line	:	1445 N 400 E
Second Line	:	SUITE 3
City	:	LOGAN
State	:	UT
Zip	:	84341-7564
Country	:	US
Telephone Number	:	435-752-1320
Fax Number	:	435-755-6183

Provider Business Practice Location Address
First Line	:	1445 N 400 E
Second Line	:	SUITE 3
City	:	LOGAN
State	:	UT
Zip	:	84341-7564
Country	:	US
Telephone Number	:	435-752-1320
Fax Number	:	435-755-6183

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1699988790 — DR. BRENT WAYNE GRAY DMD
Practice Location Address:

1445 N 400 E STE 2
LOGAN, UT
84341-7564

Practice Phone: 435-752-4136
Practice Fax: 435-752-5177

1285181131 — THOMSON ORTHODONTICS
Practice Location Address:

1445 N 400 E STE 3
LOGAN, UT
84341-7564

Practice Phone: 435-752-1320
Practice Fax: 435-750-6432

1649837337 — NORTH LOGAN PDC PLLC
Practice Location Address:

1445 N 400 E STE 3A
LOGAN, UT
84341-7564

Practice Phone: 435-752-1699
Practice Fax:

1932752599 — MAXWELL SCOTT DOXEY DMD
Practice Location Address:

1445 N 400 E # 3A
LOGAN, UT
84341-7564

Practice Phone: 435-752-1699
Practice Fax:

1205454113 — DYLAN LANE HARMON DMD
Practice Location Address:

1445 N 400 E # 3A
NORTH LOGAN, UT
84341-7564

Practice Phone: 435-363-3595
Practice Fax:

1346104973 — MRS. GINA GASSER JORDAN FNP
Practice Location Address:

1635 N 200 E
NORTH LOGAN, UT
84341-1913

Practice Phone: 435-565-6043
Practice Fax:

Directions to “ RALPH K BAIR DDS, MSD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.