# RAYMOND C. BAKER JR DDS INC

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

## Provider details

- **NPI number:** 1205931409
- **Authorized official:** RAYMOND C BAKER JR. DDS (OWNER)
- **Authorized official phone:** (434) 845-1121

## Contact information

- **Practice address:** 1922 THOMSON DRIVE, LYNCHBURG, VA 24501
- **Practice address phone:** (434) 845-1121
- **Practice address fax:** (434) 845-1096
- **Mailing address:** 1922 THOMSON DRIVE, LYNCHBURG, VA 24501
- **Mailing address phone:** (434) 845-1121
- **Mailing address fax:** (434) 845-1096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401004767 | VA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 0438000105 | VA | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00882 | UNITED CONCORDIA | — |
| 01 | — | 179327 | ANTHEM | — |
| 01 | — | 9177705 | DORAL | — |