Baker, Jason S
Baker, Jason S is an individual health care provider with primary practice located at 105 S Bedford Rd Suite 330, Mount Kisco NY 10549-3441. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Baker, Jason S can be contacted via phone (914) 242-1142.Contact Information
Primary practice address
105 S Bedford Rd Suite 330
Mount Kisco NY 10549-3441
Phone: (914) 242-1142
Fax: (914) 242-1147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 052234 | New York |
Profile Details
| NPI number | 1649363011 |
|---|---|
| LBN Legal business name | Baker, Jason S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Dec 9th, 2009 - about 17 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 | 1649363011 | NPPES |
| New York | MEDICAID | 02782167 |
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