NPI 1366450587 · live from the CMS NPI Registry
Brooke Marie Baker, D.D.S.
Dentist, General Practice in Fargo, ND. National Provider Identifier 1366450587, active.
NPI record
| NPI | 1366450587 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1790 32nd Ave S, Fargo, ND 58103 |
| Practice phone | 701-232-0774 |
| Mailing address | 10212 Ida Oaks Rd, Pelican Rapids, MN 56572 |
| Enumerated | August 3, 2006 |
| Last updated | October 5, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 1988 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.