Organization
J WILL BAKER DDS LLC
Active
Other names
Valley Wide Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J WILL BAKER DDS (OWNER)
(256) 536-2771
Entity
Organization
Contact information
Practice address
1616 PULASKI PIKE NW, HUNTSVILLE, AL 35816-2534
(256) 536-2771
(256) 539-5284
Mailing address
PO BOX 5748, HUNTSVILLE, AL 35814-5748
(256) 536-2771
(256) 539-5284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529907820
—
AL
Enumeration date
02/23/2007
Last updated
02/24/2009
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