Individual provider · Type 1 NPI

Jessica Baisley

Pediatric Dentistry · Santa Rosa, CA

NPI number 1497319222 Active

Practice location

1300 N Dutton Ave
Santa Rosa, CA 95401-0058

Mailing address

3375 Parkgate Ct
Richmond, CA 94806-1989

Other practice locations

  • 2023 Vale Rd, Richmond, CA 94806-0058 · (510) 981-4100

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X104711 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

34 other providers at this address

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About NPI 1497319222

Jessica Baisley's National Provider Identifier is 1497319222, issued on Apr 26, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 30, 2023.