Provider Demographics
NPI:1528233327
Name:BAKER, WILLIAM KENDALL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KENDALL
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 1:13129H N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2405
Mailing Address - Country:US
Mailing Address - Phone:813-963-2455
Mailing Address - Fax:
Practice Address - Street 1:13129H N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2405
Practice Address - Country:US
Practice Address - Phone:813-963-2455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7201122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist