Organization
BAKER FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTING)
(912) 732-1504
Entity
Organization
Contact information
Practice address
103 S CHURCH ST, WAVERLY, TN 37185-2160
(931) 296-2748
Mailing address
103 S CHURCH ST, WAVERLY, TN 37185-2160
(931) 296-2748
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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