Angela Paoletto Baker, RDH
Individual provider Active NPI Dental Hygienist · Gulfport, MS
NPI 1235448804 · NPPES record last updated Sep 30, 2010
Key facts
- NPI
- 1235448804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 3863-10DH (MS)
- Practice address
- 15076 Audubon Lake Blvd
Gulfport, MS 39503 - Phone
- (228) 206-1228
- NPI assigned
- Sep 30, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DH009244 | GA | MD | Dental Hygienist |
| 13006035A | IN | MD | Dental Hygienist |
| 3863-10DH | MS | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3863-10DH | MS | Yes |
| Dental Hygienist | 124Q00000X | DH009244 | GA | |
| Dental Hygienist | 124Q00000X | 13006035A | IN |
Addresses
Primary practice location
15076 Audubon Lake Blvd
Gulfport, MS 39503
Mailing address
15076 Audubon Lake Blvd
Gulfport, MS 39503-6240
Phone (228) 206-1228
Other providers in Gulfport, MS
- Back Room
- Betty Bailey
- Chelsea Bailey
- David Jason Bailey
- Sal Bailey
- Clifford Eugene Baker
- Kari Baker
- Share Baker
- Balanced Living Counseling and Consulting Services
- Donald Allan Balder
All providers in Gulfport, MS · Dental Hygienist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.