JESSICA BAISLEY NPI 1497319222

NPI Information

  • NPI: 1497319222
  • Provider Name: JESSICA BAISLEY
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 N DUTTON AVE
    SANTA ROSA, CA
    ZIP 95401
  • Phone: (707) 396-5151

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NPI Details

Jessica Baisley is a pediatric dentistry dentist in Santa Rosa, CA with 6 years of experience. The provider is 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. Jessica Baisley NPI is 1497319222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY
Graduation Year:2019

The provider's business location address is:

1300 N DUTTON AVE
SANTA ROSA, CA
ZIP 95401-058
Phone: (707) 396-5151

The NPI 1497319222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/26/2019 and was last updated on 7/30/2023.

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
11223P0221XDentistPediatric Dentistry104711CALIFORNIAYes

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: 3/30/2025

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