Provider Demographics
NPI:1346364825
Name:BAKER, HOWARD MELVIN JR (DDS)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:MELVIN
Last Name:BAKER
Suffix:JR
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 1:617 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-1737
Mailing Address - Country:US
Mailing Address - Phone:252-459-4406
Mailing Address - Fax:252-459-9351
Practice Address - Street 1:617 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1737
Practice Address - Country:US
Practice Address - Phone:252-459-4406
Practice Address - Fax:252-459-9351
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC52001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice