Provider Demographics
NPI:1164535928
Name:BAKER, GENE (DDS)
Entity Type:Individual
Prefix:MR
First Name:GENE
Middle Name:
Last Name:BAKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4731 TROUSDALE DRIVE
Mailing Address - Street 2:SUITE #8
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220
Mailing Address - Country:US
Mailing Address - Phone:615-331-7100
Mailing Address - Fax:615-331-7100
Practice Address - Street 1:4731 TROUSDALE DRIVE
Practice Address - Street 2:SUITE #8
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220
Practice Address - Country:US
Practice Address - Phone:615-331-7100
Practice Address - Fax:615-331-7100
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS2851122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist