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.
Organization
RYAN B BAKER DMD APDC
Active
Organization
RYAN B BAKER DMD APDC
Active
Parent organization
BAKER PEDIATRIC DENTAL CARE
Other names
BAKER PEDIATRIC DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAKER PEDIATRIC DENTAL CARE
Authorized official
CATHY LOYOLA (MANAGER)
(949) 771-7381
Entity
Organization
Contact information
Practice address
27180 NEWPORT RD STE 3, MENIFEE, CA 92584-7389
(951) 672-1666
Mailing address
14591 NEWPORT AVE STE 108, TUSTIN, CA 92780-6026
(949) 771-7234
(949) 771-7566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64066
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
01/28/2020
Last updated
01/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up