Scott Duane Baker, DDS
Individual provider Active NPI Dentist · Waverly, TN
NPI 1720195076 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1720195076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7638 (TN)
- Practice address
- 103 S Church St
Waverly, TN 37185-2160 - Phone
- (931) 296-2748
- Fax
- (931) 296-1402
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 7638 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Family Dentistry, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7638 | TN | Yes |
Addresses
Primary practice location
103 S Church St
Waverly, TN 37185-2160
Mailing address
103 S Church St
Waverly, TN 37185-2160
Phone (931) 296-2748
Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. 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.