Baker College of Port Huron

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

015451 Issued in MI

Legal business name

BAKER COLLEGE OF PORT HURON

Practice address

3403 Lapeer Road
Port Huron, MI 48060-2597

Phone

(810) 985-3729

Fax

(810) 985-7066

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David P Smith, DDSNPI 1013119197

Title

Supervising Dentist

Phone

(810) 985-3729

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.

• David Paul Smith, DDS

  • Dentist
  • Port Huron, MI
  • NPI 1013119197
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962523001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 LAPEER ROAD",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602597",
            "telephone_number": "810-985-3729",
            "fax_number": "810-985-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 LAPEER ROAD",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602597",
            "telephone_number": "810-985-3729",
            "fax_number": "810-985-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER COLLEGE OF PORT HURON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SUPERVISING DENTIST",
        "authorized_official_telephone_number": "810-985-3729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "015451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Corrine Bailey
• Jennifer L Bailey, LMSW
• Michael Dean Bailey
• Racheal Bailey
• Sarah Grace Bailey
• Kelly Baker, LMSW
• Shaun Baker, PA-C
• Ronaldo S Balboa, M.D.
• Brian Daniel Ballard, DO
• Alexis Marie Ballor

• Dental Clinic/Center in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.