Provider Demographics
NPI:1356431977
Name:BALDINGER, JILL SUSAN (DMD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:SUSAN
Last Name:BALDINGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 HARBOR ISLAND WALK
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5461
Mailing Address - Country:US
Mailing Address - Phone:410-534-8224
Mailing Address - Fax:
Practice Address - Street 1:2029 SUFFOLK RD.
Practice Address - Street 2:SUITE B
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048
Practice Address - Country:US
Practice Address - Phone:410-861-3001
Practice Address - Fax:410-861-8744
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122261223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics