Baker, Craig Jared

Baker, Craig Jared is an sole proprietor health care provider with primary practice located at 13501 Icot Blvd Suite 101, Clearwater FL 33760-3729. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Baker, Craig Jared can be contacted via phone (727) 531-4462.

Contact Information

Primary practice address
13501 Icot Blvd Suite 101 Clearwater FL 33760-3729
Phone: (727) 531-4462
Fax: (727) 210-1754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN17163 Florida

Profile Details

NPI number 1841279528
LBN Legal business name Baker, Craig Jared
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Feb 24th, 2009 - 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 1841279528 NPPES
Florida MEDICAID 076027700

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