Individual provider · Type 1 NPI
Ksenia G. Baxter, DMD
Periodontics · Bethel, CT
NPI number
1467749283
Active
Practice location
2 Stony Hill Rd
Bethel, CT 06801
Other practice locations
- 263 Farmington Ave, Uconn School Of Dental Medicine, Farmington, CT 06030-3905 · (860) 679-2207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Dentistry | 1223G0001X | 10812 (CT) |
| Periodontics Primary | 1223P0300X | 10812 (CT) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Bethel
About NPI 1467749283
Ksenia G. Baxter, DMD's National Provider Identifier is 1467749283, issued on Jun 30, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Bethel, CT. The record was last updated on May 23, 2018.