Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WARREN C BAINE, DMD
ActiveDR. WARREN C BAINE, DMD is a Periodontology healthcare provider located in MUTTONTOWN, New York. NPI 1790900165 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MUTTONTOWN, NY
Registration Details
- NPI Number
- 1790900165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.338905767587 yrs)
- Last Updated
- Jul 8, 2007
- License
-
036981 (NY)
Practice Information
- Address
-
302 IVY HILL COURTMUTTONTOWN, NY, 11753Browse NY providers · Browse ZIP 11753
- Phone
- 5164338386
- Fax
- 5164338386
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.