Provider Demographics
NPI:1891840161
Name:BAKER, SHARON K (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:K
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 1:11 HARNESS CREEK VIEW CT
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-1663
Mailing Address - Country:US
Mailing Address - Phone:410-295-0135
Mailing Address - Fax:
Practice Address - Street 1:914 BAY RIDGE RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-3999
Practice Address - Country:US
Practice Address - Phone:410-626-1797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD131521223G0001X
TX176851223G0001X
KY11521223G0001X
VA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice