Bakeman, Richard James

Bakeman, Richard James is an individual health care provider with primary practice located at 1222 George C Wilson Dr , Augusta GA 30909-4502. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bakeman, Richard James can be contacted via phone (706) 868-9500.

Contact Information

Primary practice address
1222 George C Wilson Dr Augusta GA 30909-4502
Phone: (706) 868-9500
Fax: (706) 868-5081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN012002 Georgia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3793 South Carolina

Profile Details

NPI number 1790717452
LBN Legal business name Bakeman, Richard James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 21st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790717452 NPPES
Georgia Other GRP5093 MEDICARE GROUP
Georgia MEDICAID 00799565C MEDICARE GROUP
Georgia MEDICAID ZG0276 MEDICARE GROUP
Georgia Other 7561 MEDICARE GROUP

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