# CE BAKER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093980542
- **Authorized official:** DR. CLARENCE EDWARD BAKER D.D.S. (DR CE BAKER)
- **Authorized official phone:** (731) 587-5344

## Contact information

- **Practice address:** 103 KENNEDY DR, MARTIN, TN 38237-3309
- **Practice address phone:** (731) 587-5344
- **Practice address fax:** (731) 587-5342
- **Mailing address:** 103 KENNEDY DR, MARTIN, TN 38237-3309
- **Mailing address phone:** (731) 587-5344
- **Mailing address fax:** (731) 587-5342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 07/16/2008