Provider Demographics
NPI:1164318630
Name:BAAKILI, ANASS (DMD)
Entity type:Individual
Prefix:DR
First Name:ANASS
Middle Name:
Last Name:BAAKILI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 NORMANDY WOODS DR APT A
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4552
Mailing Address - Country:US
Mailing Address - Phone:484-597-6357
Mailing Address - Fax:
Practice Address - Street 1:603 NURSERY RD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6109
Practice Address - Country:US
Practice Address - Phone:410-848-5577
Practice Address - Fax:410-848-3230
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18721122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist