Samuel Broughton Baker Jr

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1912 Issued in SC

Legal business name

SAMUEL BROUGHTON BAKER JR

Practice address

174 Beech Avenue
Denmark, SC 29042-0158

Phone

(803) 793-3653

NPI assigned

Sep 24, 2009

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam E Baker

Title

Office Manager

Phone

(803) 793-3653

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earl Barrett Hartzog, D.M.D.

  • Dentist
  • Denmark, SC
  • NPI 1881820637
  NPD (past)

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1487988390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "DENMARK",
            "state": "SC",
            "postal_code": "290420158",
            "telephone_number": "803-793-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BEECH AVENUE",
            "city": "DENMARK",
            "state": "SC",
            "postal_code": "290420158",
            "telephone_number": "803-793-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL BROUGHTON BAKER JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-793-3653"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Hilliard
• Sarah Latrelle Johnson, CPSS
• Jon Harrison Josey, DMD
• Sadesha Monae Lee
• Nainesh B Patel, DMD
• Elton Vernard Shuler, MASTERS COUNSELING
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #03892)
• South Office of Rural Health (Low Country Healthy Start)
• Renee D Stokes, MA REHAB COUNSELING
• Geraldine E Thomas, MASTERS IN REHAB COU

• General Practice Dentistry in Denmark, SC
• Providers in Denmark, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.