Greg R. Baker Dental Services PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6322 Issued in KY

Legal business name

GREG R. BAKER DENTAL SERVICES PLLC

Practice address

100 Medical Center Drive
Hazard, KY 41701-9421

Phone

(606) 439-1331

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Greg R Baker, DMD

Title

Dentist

Phone

(606) 435-7676

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1154631364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CITIZENS LANE",
            "address_2": "SUITE B",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011320",
            "telephone_number": "606-435-7676",
            "fax_number": "606-436-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DRIVE",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019421",
            "telephone_number": "606-439-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG R. BAKER DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "606-435-7676",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60063229",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Govani, MD
• Randall Grace
• Gram Resources, Inc
• Jennifer Gray, BSW
• Gina Green, LCSW
• Sherri Griffie, APRN
• Steven R Grose, CRNA
• Melinda Gross
• Natasha Gross
• Robert D Gross

• General Practice Dentistry in Hazard, KY
• Providers in Hazard, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.