Individual
DR. DOUGLAS J BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1626 L ST, ORD, NE 68862-1425
(308) 728-3756
(308) 728-3207
Mailing address
PO BOX 224, ORD, NE 68862-0224
(308) 728-3756
(308) 728-3207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025277500
—
NE
Enumeration date
10/06/2005
Last updated
07/09/2007
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