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Lisa Baines, DMD
NPI 1679766638 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1905 Montana Dr
Suite 30
Springfield, IL 62704 - Phone
- (217) 698-9300
- Fax
- (217) 698-9310
- Organisation at this address
- Willowglen Academy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois