# MARY C BAKER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary C Baker DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518172428
- **Authorized official:** MRS. MARY C BAKER DDS (OWNER)
- **Authorized official phone:** (524) 457-5771

## Contact information

- **Practice address:** 1101 S HUNTINGTON ST, STE 4, SYRACUSE, IN 46567-1981
- **Practice address phone:** (524) 457-5771
- **Practice address fax:** (524) 457-5771
- **Mailing address:** 1101 S HUNTINGTON ST, STE 4, SYRACUSE, IN 46567-1981
- **Mailing address phone:** (524) 457-5771
- **Mailing address fax:** (524) 457-5771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010687 | IN | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 06/19/2008