Marianna Serena Baker, D.D.S.
Individual provider Active NPI Dentist · Sylvania, OH
NPI 1295877348 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295877348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 13834 (OH)
- Practice address
- 5800 Monroe St
BLDG.D
Sylvania, OH 43560-2263 - Phone
- (419) 824-3456
- Fax
- (419) 824-3456
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 13834 | OH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13834 | OH | Yes |
Addresses
Primary practice location
5800 Monroe St
BLDG.D
Sylvania, OH 43560-2263
Mailing address
5800 Monroe St
BLDG.D
Sylvania, OH 43560-2263
Phone (419) 824-3456
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.