J Will Baker DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

J WILL BAKER DDS LLC

Practice address

1616 Pulaski Pike NW
Huntsville, AL 35816-2534

Phone

(256) 536-2771

Fax

(256) 539-5284

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J Will Baker, DDS

Title

Owner

Phone

(256) 536-2771

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valley Wide Dental Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clifton Frazier Jr., DDS

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1174658546
  NPD (past)
• Gwendolyn Smith Frazier, DDS

  • Dentist
  • Huntsville, AL
  • NPI 1205023223
  NPD (past)
• David Lionel King, D.M.D.

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1962842773
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1831224245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5748",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358145748",
            "telephone_number": "256-536-2771",
            "fax_number": "256-539-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PULASKI PIKE NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162534",
            "telephone_number": "256-536-2771",
            "fax_number": "256-539-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J WILL BAKER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "WILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-536-2771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529907820",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Wide Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devasena Iyer, MD
• Clare Marie Izcaray
• Lindsay Izzo, DPT
• J D Blankenship DO LLC
• J Taylor DMD PC
• J. Edward Walker Jr., D.M.D. PC
• J.D. Reed Dental, Inc.
• Jack M Englert MD PC
• Lashawn Jackson Turner, DRPH
• Ashley Lynch Jackson, DPT

• General Practice Dentistry in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Dentistry in Alabama

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