BAKER PEDIATRIC DENTISTRY PLLC NPI 1407211725

NPI Information

BAKER PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Idaho Falls, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BAKER PEDIATRIC DENTISTRY, PLLC NPI is 1407211725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baker Pediatric Dentistry.

The provider's business location address is:

1900 JOHN ADAMS PKWY
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 524-0644
Fax: (208) 524-6100

The provider's authorized official is Thomas Cecil Baker .
The authorized official title is Owner and has the following contact phone number (208) 524-0644.

The enumeration date for this NPI number is 12/31/2015 and was last updated on 6/18/2020.

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:

Other Identifiers

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