Baker, Natalee Gordon
Baker, Natalee Gordon is an individual health care provider with primary practice located at 9590 Medlock Bridge Rd Suite D, Johns Creek GA 30097. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Baker, Natalee Gordon can be contacted via phone (770) 495-9004.Contact Information
Primary practice address
9590 Medlock Bridge Rd Suite D
Johns Creek GA 30097
Phone: (770) 495-9004
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN122808 | Georgia |
Profile Details
| NPI number | 1831825769 |
|---|---|
| LBN Legal business name | Baker, Natalee Gordon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2022 |
| Last updated | Jul 25th, 2022 - about 4 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 | 1831825769 | NPPES |
| Georgia | Other | DN122808 | GA DENTAL LICENSE |
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