Baker, Jason S

Baker, Jason S is an individual health care provider with primary practice located at 105 S Bedford Rd Suite 330, Mount Kisco NY 10549-3441. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Baker, Jason S can be contacted via phone (914) 242-1142.

Contact Information

Primary practice address
105 S Bedford Rd Suite 330 Mount Kisco NY 10549-3441
Fax: (914) 242-1147
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 052234 New York

Profile Details

NPI number 1649363011
LBN Legal business name Baker, Jason S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Dec 9th, 2009 - about 15 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 1649363011 NPPES
New York MEDICAID 02782167

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