Individual
DR. MELVIN O BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4115 TATE ST NE, COVINGTON, GA 30014-2554
(770) 787-2230
(770) 787-0508
Mailing address
4115 TATE STREET, COVINGTON, GA 30014
(770) 787-2230
(770) 787-0508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8252
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100365
AVESIS
MA
01
—
9180656
DORAL
WI
Enumeration date
07/20/2006
Last updated
07/08/2007
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