DR. REGINALD TORRANCE BAKER D.D.S. NPI 1134289382

NPI Information

NPI: 1134289382
Provider Name: DR. REGINALD TORRANCE BAKER, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
8803 SOUTH STONY ISLAND AVENUE
CHICAGO, IL
ZIP 60617
Phone: (773) 375-0303
Get Directions

DR. Reginald Torrance Baker, D.D.S. is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Reginald Torrance Baker, D.D.S. NPI is 1134289382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8803 SOUTH STONY ISLAND AVENUE
CHICAGO, IL
ZIP 60617-810
Phone: (773) 375-0303
Fax: (773) 375-9018

The enumeration date for this NPI number is 12/11/2006 and was last updated on 11/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019-025166	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1665557	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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