| 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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