Baker, George W
Baker, George W is an sole proprietor health care provider with primary practice located at 606 South Greenwood St , Lagrange GA 30240-2735. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Baker, George W can be contacted via phone (706) 882-5551.Contact Information
Primary practice address
606 South Greenwood St
Lagrange GA 30240-2735
Phone: (706) 882-5551
Fax: (706) 812-8558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8745 | Georgia |
Profile Details
| NPI number | 1669413993 |
|---|---|
| LBN Legal business name | Baker, George W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 2nd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669413993 | NPPES |
| Georgia | MEDICAID | 000136848A |
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