Provider Demographics
NPI:1609339654
Name:ERICA K BAKER, DDS, PLLC
Entity Type:Organization
Organization Name:ERICA K BAKER, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-298-2503
Mailing Address - Street 1:9955 WOODLANDS PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382
Mailing Address - Country:US
Mailing Address - Phone:281-298-2503
Mailing Address - Fax:281-298-4017
Practice Address - Street 1:9955 WOODLANDS PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382
Practice Address - Country:US
Practice Address - Phone:281-298-2503
Practice Address - Fax:281-298-4017
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ERIKA K BAKER, DDS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-08
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty