Provider Demographics
NPI:1205006517
Name:BAKER, ALEXANDRA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:A
Last Name:BAKER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 VILLAGE RD
Mailing Address - Street 2:SUITE 9 THE BARN
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044
Mailing Address - Country:US
Mailing Address - Phone:215-657-3600
Mailing Address - Fax:215-657-7699
Practice Address - Street 1:2 VILLAGE RD
Practice Address - Street 2:SUITE 9 THE BARN
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044
Practice Address - Country:US
Practice Address - Phone:215-657-3600
Practice Address - Fax:215-657-7699
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020290L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist