Organization · Type 2 NPI

Baker Pediatric Dentistry, PLLC

Pediatric Dentistry · Idaho Falls, ID

NPI number 1407211725 Active

Practice location

1900 John Adams Pkwy
Idaho Falls, ID 83401

Fax (208) 524-6100

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

Other pediatric dentistry providers in Idaho Falls

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NPI record

NPI: 1407211725
Entity type: Organization (Type 2)
Issued: Dec 31, 2015
Last updated: Jun 18, 2020
Status: Active

Other names

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Baker Pediatric Dentistry · doing business as
Baker Pediatric Dentistry · doing business as

Authorized official

Thomas Cecil Baker, D.M.D
Owner
(208) 524-0644

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407211725

Baker Pediatric Dentistry, PLLC's National Provider Identifier is 1407211725, issued on Dec 31, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 18, 2020.