Rebecca Lynn Baker, D.M.D.

Individual provider Active NPI General Practice Dentistry · Georgetown, KY

NPI 1154448900 · NPPES record last updated Jan 24, 2018

Key facts

NPI
1154448900
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7940 (KY)
Practice address
107 Frazier CT
Suite 2E
Georgetown, KY 40324-8973
Phone
(502) 863-3600
Fax
(502) 863-3699
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7940KYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7940 KY Yes

Addresses

Primary practice location

107 Frazier CT
Suite 2E
Georgetown, KY 40324-8973

Mailing address

107 Frazier CT
Suite 2E
Georgetown, KY 40324-8973
Phone (502) 863-3600

Other names

  • Dr. Rebecca Lynn Baker Former name

Other providers in Georgetown, KY

All providers in Georgetown, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.