Baker Road Dental Care | |
4090 Jiles Rd Nw Kennesaw GA 30144-1105 | |
(678) 915-9496 | |
(678) 224-6155 |
Full Name | Baker Road Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 4090 Jiles Rd Nw, Kennesaw, Georgia |
Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Baker Road Dental Care 4090 Jiles Rd Nw Kennesaw GA 30144-1105 Ph: (678) 915-9496 | Baker Road Dental Care 4090 Jiles Rd Nw Kennesaw GA 30144-1105 Ph: (678) 915-9496 |
NPI Number | 1255940839 |
---|---|
Provider Enumeration Date | 07/29/2020 |
Last Update Date | 01/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255940839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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