# JEFFREY T BAKER DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFREY T BAKER DDS PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679183552
- **Legal business name:** JEFFREY T BAKER DDS PC
- **Authorized official:** JEFFREY T BAKER DDS (DENTIST)
- **Authorized official phone:** (586) 992-9222

## Contact information

- **Practice address:** 8152 25 MILE RD STE C, SHELBY TWP, MI 48316
- **Practice address phone:** (586) 992-9222
- **Practice address fax:** (586) 992-0814
- **Mailing address:** 8152 25 MILE RD STE C, SHELBY TWP, MI 48316
- **Mailing address phone:** (586) 992-9222
- **Mailing address fax:** (586) 992-0814

## Taxonomy

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

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 08/05/2020