# DAKOTA BAKER DDS PLLS

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

## Provider details

- **NPI number:** 1184512543
- **Authorized official:** DAKOTA BAKER DDS (DR)
- **Authorized official phone:** (208) 881-2575

## Contact information

- **Practice address:** 109 MCKINLEY AVE, KELLOGG, ID 83837-2501
- **Practice address phone:** (054) 520-8784
- **Mailing address:** 715 CASTLEROCK LN, IDAHO FALLS, ID 83404-7997
- **Mailing address phone:** (208) 881-2575

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2025
- **Last updated:** 06/25/2025