Organization
GREG R. BAKER DENTAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG R BAKER DMD (DENTIST)
(606) 435-7676
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DRIVE, HAZARD, KY 41701-9421
(606) 439-1331
Mailing address
145 CITIZENS LANE, SUITE B, HAZARD, KY 41701-1320
(606) 435-7676
(606) 436-5175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6322
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60063229
—
KY
Enumeration date
10/21/2010
Last updated
10/21/2010
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