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Organization

DECATUR DENTAL SERVICES

Active
Other names
Geneva Dental Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID C BAKER (DENTIST)
(260) 368-7500
Entity
Organization

Contact information

Practice address
447 E LINE ST, GENEVA, IN 46740-8936
(260) 368-7500
(260) 368-7167
Mailing address
447 E LINE ST, GENEVA, IN 46740-8936
(260) 368-7500

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010412
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100146810
IN
05
200355500
IN
05
300080654
IN
Enumeration date
11/30/2006
Last updated
03/31/2025
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