Melvin O Baker, D.M.D
Individual provider Active NPI General Practice Dentistry · Covington, GA
NPI 1750301602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750301602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 8252 (GA)
- Practice address
- 4115 Tate St NE
Covington, GA 30014-2554 - Phone
- (770) 787-2230
- Fax
- (770) 787-0508
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8252 | GA | Yes |
Addresses
Primary practice location
4115 Tate St NE
Covington, GA 30014-2554
Mailing address
4115 Tate Street
Covington, GA 30014
Phone (770) 787-2230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100365 | Other | MA | AVESIS |
| 9180656 | Other | WI | DORAL |
Other providers in Covington, GA
- Regina L Avant
- Axis Risk LLC
- Nyala Becky Azangue
- Kodjo Vivien Aziamadji
- Caleb Ba Mendoza
- Sharon Nicole Ball
- Balms for Lamb Inc.
- Faryal Baloch
- Jakai Banks
- Quincy Alvin Banks
All providers in Covington, GA · General Practice Dentistry in Georgia
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.