| Baker Road Dental Care | |
|
4090 Jiles Rd Nw Kennesaw GA 30144-1105 | |
| (678) 915-9496 | |
| (678) 224-6155 |
| Full Name | Baker Road Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4090 Jiles Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Road Dental Care 4090 Jiles Rd Nw Kennesaw GA 30144-1105 Ph: (678) 915-9496 | Baker Road Dental Care 4090 Jiles Rd Nw Kennesaw GA 30144-1105 Ph: (678) 915-9496 |
| NPI Number | 1255940839 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255940839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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