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NPI Code Detail

MEDICARE: DR. MARYANN K. BAILEY DDS

MEDICARE: DR. MARYANN K. BAILEY DDS
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
11223G0001XGeneral Practice DentistryG1-0001163DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447257738
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARYANN K. BAILEY DDS
Provider Business Mailing Address
First Line : 1802 W 4TH ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-3420
Country : US
Telephone Number : 302-655-5822
Fax Number : 302-655-5949
Provider Business Practice Location Address
First Line : 1802 W 4TH ST
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-3420
Country : US
Telephone Number : 302-655-5822
Fax Number : 302-655-5949
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/08/2007

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