Baker, Gregory Robert

Baker, Gregory Robert is an sole proprietor health care provider with primary practice located at 101 Town And Country Ln , Hazard KY 41701-9524. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Baker, Gregory Robert can be contacted via phone (606) 439-3848.

Contact Information

Primary practice address
101 Town And Country Ln Hazard KY 41701-9524
Phone: (606) 439-3848
Fax: (606) 436-5139
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6322 Kentucky
Dental Providers / Dentist 122300000X 6322 Kentucky

Profile Details

NPI number 1518092238
LBN Legal business name Baker, Gregory Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jan 15th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518092238 NPPES
Kentucky MEDICAID 60063229
Kentucky MEDICAID 45000643

Popular Providers