# ROXANN BAKER DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699131698
- **Authorized official:** DR. ROXANN BAKER (DENTIST)
- **Authorized official phone:** (248) 569-3490

## Contact information

- **Practice address:** 20905 GREENFIELD RD, 208, SOUTHFIELD, MI 48075-5360
- **Practice address phone:** (248) 569-3490
- **Practice address fax:** (248) 569-3471
- **Mailing address:** 20905 GREENFIELD RD, SUITE.208, SOUTHFIELD, MI 48075-5360
- **Mailing address phone:** (248) 569-3490
- **Mailing address fax:** (248) 569-3471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901013077 | MI | Yes |

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 01/06/2016
