Individual
DR. JACOB L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2409 SPORTSMAN DR, PHENIX CITY, AL 36867-5402
(334) 297-5890
(334) 298-2725
Mailing address
2409 SPORTSMAN DR, PHENIX CITY, AL 36867-5402
(334) 297-5890
(334) 298-2725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5400
AL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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