Bruce a. Baker, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9735 Issued in MN

Legal business name

BRUCE A. BAKER, D.D.S., P.A.

Practice address

1405 78TH St
Victoria, MN 55386-9723

Phone

(952) 443-2994

Fax

(952) 443-2918

NPI assigned

Oct 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Arthur Baker, D.D.S.

Title

President

Phone

(952) 443-2994

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1124207899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553860002",
            "telephone_number": "952-443-2994",
            "fax_number": "952-443-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 78TH ST",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869723",
            "telephone_number": "952-443-2994",
            "fax_number": "952-443-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. BAKER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-443-2994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Anderson Berger, M.A., CCC-SLP
• Jillyne Bobrowsky
• Nathanyl Bryan Broders
• Shelly Renee Brooks, OTR
• Robert Elmer Brown, D.C.
• Taria Cameron, CCC-SLP
• Elizabeth Anne Carstens
• Carver County Chiropractic Company PLC
• Tris Rene Casciaro, MA LPC
• Sarah Elizabeth Cherwien Hoel, PSY.D., LP

• General Practice Dentistry in Victoria, MN
• Providers in Victoria, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.