L. Bradley Baker, Dmd, Psc | |
1300 Southtown Blvd Owensboro KY 42301-7481 | |
(270) 684-7433 | |
(270) 685-4114 |
Full Name | L. Bradley Baker, Dmd, Psc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1300 Southtown Blvd, Owensboro, Kentucky |
Authorized Official Name and Position | Lawrence Bradley Baker (ORTHODONTIST) |
Authorized Official Contact | 2706847433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
L. Bradley Baker, Dmd, Psc 1300 Southtown Blvd Owensboro KY 42301-7481 Ph: (270) 684-7433 | L. Bradley Baker, Dmd, Psc 1300 Southtown Blvd Owensboro KY 42301-7481 Ph: (270) 684-7433 |
NPI Number | 1154443182 |
---|---|
Provider Enumeration Date | 04/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154443182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | KY6187 (Kentucky) | Primary |
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