| Carol A. Baker, Dmd, Pa | |
|
144 E. Broadway St Johnsonville SC 29555 | |
| (843) 386-2833 | |
| (843) 386-2279 |
| Full Name | Carol A. Baker, Dmd, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 144 E. Broadway St, Johnsonville, South Carolina |
| Authorized Official Name and Position | Carol Anne Baker (PRESIDENT) |
| Authorized Official Contact | 8433862833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A. Baker, Dmd, Pa Po Box 297 Johnsonville SC 29555-0297 Ph: (843) 386-2833 | Carol A. Baker, Dmd, Pa 144 E. Broadway St Johnsonville SC 29555 Ph: (843) 386-2833 |
| NPI Number | 1518355080 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518355080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4018 (South Carolina) | Primary |