Provider Demographics
NPI:1548351356
Name:BAECHTOLD, ANGELA PAINTER (DDS,MS,PA)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:PAINTER
Last Name:BAECHTOLD
Suffix:
Gender:F
Credentials:DDS,MS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10B YORKSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2752
Mailing Address - Country:US
Mailing Address - Phone:828-274-9220
Mailing Address - Fax:828-274-2872
Practice Address - Street 1:10B YORKSHIRE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2752
Practice Address - Country:US
Practice Address - Phone:828-274-9220
Practice Address - Fax:828-274-2872
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC64181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC013WFOtherNC HEALTH CHOICE
NC89013WFMedicaid