Individual provider · Type 1 NPI

Dwight Douglas Baker, DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID

NPI number 1053496083 Active

Practice location

1900 John Adams Pkwy
Idaho Falls, ID 83401-4366

Call (208) 524-0644 Map

Fax (208) 524-6100

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XD-1911-OR (ID)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1053496083

Dwight Douglas Baker, DDS, M.S.'s National Provider Identifier is 1053496083, issued on Oct 26, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 8, 2007.