Organization
RAYMOND C. BAKER JR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND C BAKER JR. DDS (OWNER)
(434) 845-1121
Entity
Organization
Contact information
Practice address
1922 THOMSON DRIVE, LYNCHBURG, VA 24501
(434) 845-1121
(434) 845-1096
Mailing address
1922 THOMSON DRIVE, LYNCHBURG, VA 24501
(434) 845-1121
(434) 845-1096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004767
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0438000105
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00882
UNITED CONCORDIA
—
01
—
179327
ANTHEM
—
01
—
9177705
DORAL
—
Enumeration date
09/13/2006
Last updated
09/11/2025
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