Individual
DR. GREGORY ROBERT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 TOWN AND COUNTRY LN, HAZARD, KY 41701-9524
(606) 439-3848
(606) 436-5139
Mailing address
PO BOX 1988, HAZARD, KY 41702-1988
(606) 439-3848
(606) 436-5139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6322
KY
1223G0001X
General Practice Dentistry
Primary
6322
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45000643
—
KY
05
—
60063229
—
KY
Enumeration date
02/22/2007
Last updated
01/15/2020
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