Individual
RAYMOND C BAKER JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
1223G0001X
General Practice Dentistry
0401004767
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000105
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00882
UNITED CONCORDIA
—
01
—
179327
ANTHEM BCBS
—
01
—
9177705
DORAL
—
Enumeration date
02/20/2008
Last updated
02/20/2008
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