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LISETTE BAECHTOLD D.M.D. M.S. NPI 1063508398


NPI Information

NPI: 1063508398
Provider Name: LISETTE BAECHTOLD, D.M.D., M.S.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2006 MERCHANT DR
RICHMOND, KY
ZIP 40475
Phone: (859) 626-7977
Get Directions

LISETTE BAECHTOLD, D.M.D., M.S. is a general practice dentist in Richmond, KY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LISETTE BAECHTOLD, D.M.D., M.S. NPI is 1063508398. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2006 MERCHANT DR
RICHMOND, KY
ZIP 40475-167
Phone: (859) 626-7977
Fax: (859) 626-5103

The provider's authorized official is Leslie Lisette Baechtold .
The authorized official title is Dentist and has the following contact phone number (859) 626-7977.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist6635KENTUCKYNo
21223G0001XDentistGeneral Practice6635KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
160066354MEDICAIDKENTUCKY
21603579OTHERKENTUCKYUNITED CONCORDIA
345004306MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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