Baker, Dwight Douglas
Baker, Dwight Douglas is an sole proprietor health care provider with primary practice located at 1900 John Adams Pkwy , Idaho Falls ID 83401-4366. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Baker, Dwight Douglas can be contacted via phone (208) 524-0644.Contact Information
Primary practice address
1900 John Adams Pkwy
Idaho Falls ID 83401-4366
Phone: (208) 524-0644
Fax: (208) 524-6100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-1911-OR | Idaho |
Profile Details
| NPI number | 1053496083 |
|---|---|
| LBN Legal business name | Baker, Dwight Douglas |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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