BETITA BAKER DENTAL PARTNERSHIP NPI 1962068478

NPI Information

  • NPI: 1962068478
  • Provider Name: BETITA BAKER DENTAL PARTNERSHIP
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • CLIA Number: 05D2242355
  • Address: 32241 CROWN VALLEY PKWY STE 220
    DANA POINT, CA
    ZIP 92629
  • Phone: (949) 240-2280

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NPI Details

BETITA BAKER DENTAL PARTNERSHIP is an oral maxillofacial surgery in Dana Point, CA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. BETITA BAKER DENTAL PARTNERSHIP NPI is 1962068478. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32241 CROWN VALLEY PKWY STE 220
DANA POINT, CA
ZIP 92629-310
Phone: (949) 240-2280

The provider's authorized official is Timothy Betita .
The authorized official title is Partner and has the following contact phone number (949) 240-2280.

The CLIA number assigned to this NPI record is 05D2242355 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2019 and was last updated on 5/10/2019.

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
1204E00000XOral & Maxillofacial SurgeryYes

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: 11/21/2025

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