Organization
TOTALLY KIDS DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN B. BAKER DMD, MPH, MS (OWNER)
(602) 610-5088
Entity
Organization
Contact information
Practice address
3825 N 75TH AVE STE 101&102, PHOENIX, AZ 85033-3700
(602) 610-5088
(602) 806-8910
Mailing address
3825 N 75TH AVE STE 101&102, PHOENIX, AZ 85033-3700
(602) 610-5088
(602) 806-8910
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D010661
LICENSE
—
Enumeration date
01/10/2023
Last updated
01/10/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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