Individual
DR. JASON ROBERT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108
(816) 404-0500
(816) 404-4359
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 285-6923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2013019682
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2013019682
MO
Other
Enumeration date
06/20/2013
Last updated
07/12/2018
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