| Samuel Broughton Baker Jr | |
|
174 Beech Avenue Denmark SC 29042-0158 | |
| (803) 793-3653 | |
| Not Available |
| Full Name | Samuel Broughton Baker Jr |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 174 Beech Avenue, Denmark, South Carolina |
| Authorized Official Name and Position | Miriam E Baker (OFFICE MANAGER) |
| Authorized Official Contact | 8037933653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Broughton Baker Jr Po Box 158 Denmark SC 29042-0158 Ph: (803) 793-3653 | Samuel Broughton Baker Jr 174 Beech Avenue Denmark SC 29042-0158 Ph: (803) 793-3653 |
| NPI Number | 1487988390 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487988390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1912 (South Carolina) | Primary |
Denmark Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17652 Heritage Hwy, Denmark, SC 29042 Phone: 803-793-3653 Fax: 803-753-9777 | |
Denmark Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5576 Carolina Hwy, Denmark, SC 29042 Phone: 803-793-3365 |