Dwight Douglas Baker in Idaho Falls - Orthodontics And Dentofacial Orthopedics
Dwight Douglas Baker - NPI 1053496083
Dwight Douglas Baker is a Orthodontics And Dentofacial Orthopedics in Idaho Falls, Idaho. Dwight Douglas Baker practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Dwight Douglas Baker is 1053496083. The last update date is 2007-07-08.
Dwight Douglas Baker's current location address is 1900 John Adams Pkwy, Idaho Falls, Idaho. You can contact this provider via phone number 2085240644 and fax number 2085246100. The mailing address for Dwight Douglas Baker is 1900 John Adams Pkwy, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dwight Douglas Baker |
|---|---|
| Address | 1900 John Adams Pkwy, Idaho Falls, Idaho |
| Phone Number | 2085240644 |
| Fax Number | 2085246100 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1053496083 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 John Adams Pkwy |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834014366 |
| Phone Number | 2085240644 |
| Fax Number | 2085246100 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D-1911-OR |
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Definition: 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 rel |
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Post Comment/ Review Below
What is the unique identifier code issued to Dwight Douglas Baker by the Centers for Medicare & Medicaid Services (CMS)?
The Dwight Douglas Baker has been assigned the NPI (National Provider Identifier) 1053496083. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Dwight Douglas Baker is physically located?
The Dwight Douglas Baker is situated at the following address: 1900 John Adams Pkwy, Idaho Falls, ID 834014366.
What is Dwight Douglas Baker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dwight Douglas Baker's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Dwight Douglas Baker receive the assignment of its 1053496083 from the Centers for Medicare & Medicaid Services?
The Dwight Douglas Baker was issued its 1053496083 by the Centers for Medicare & Medicaid Services on 2006-10-26.
When was the information pertaining to Dwight Douglas Baker most recently updated or revised?
The details related to Dwight Douglas Baker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.