Individual
CRAIG JARED BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13501 ICOT BLVD, SUITE 101, CLEARWATER, FL 33760-3729
(727) 531-4462
(727) 210-1754
Mailing address
13501 ICOT BLVD, SUITE 101, CLEARWATER, FL 33760-3729
(727) 531-4462
(727) 210-1754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076027700
—
FL
Enumeration date
01/11/2006
Last updated
02/24/2009
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