Provider Demographics
NPI:1346865284
Name:BAKER, BRITANY LEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRITANY
Middle Name:LEE
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 1:3509 CONWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2301
Mailing Address - Country:US
Mailing Address - Phone:606-438-3335
Mailing Address - Fax:
Practice Address - Street 1:13557 STEELECROFT PKWY STE 2400
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7886
Practice Address - Country:US
Practice Address - Phone:704-594-8496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program