Individual
DR. MAC L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
440 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2351
(601) 833-7241
(601) 833-3183
Mailing address
440 HWY 51 N, BROOKHAVEN, MS 39601-2351
(601) 833-7241
(601) 833-3183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
225686
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060249
—
MS
Enumeration date
05/15/2007
Last updated
08/26/2025
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