| Baker Family Dentistry, P.c. | |
|
4217 E 3rd St Bloomington IN 47401-5550 | |
| (812) 332-2000 | |
| Not Available |
| Full Name | Baker Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4217 E 3rd St, Bloomington, Indiana |
| Authorized Official Name and Position | Lisa J Baker (OWNER) |
| Authorized Official Contact | 8123322000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Family Dentistry, P.c. 4217 E 3rd St Bloomington IN 47401-5550 Ph: (812) 332-2000 | Baker Family Dentistry, P.c. 4217 E 3rd St Bloomington IN 47401-5550 Ph: (812) 332-2000 |
| NPI Number | 1972873925 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972873925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009106 (Indiana) | Primary |
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