Provider Demographics
NPI:1891959094
Name:DENTON HEALTHCARE PLLC
Entity Type:Organization
Organization Name:DENTON HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:AYRES
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-859-5001
Mailing Address - Street 1:18539 S NC HIGHWAY 109
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27239-7713
Mailing Address - Country:US
Mailing Address - Phone:336-859-5001
Mailing Address - Fax:336-859-1952
Practice Address - Street 1:18539 S NC HIGHWAY 109
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:NC
Practice Address - Zip Code:27239-7713
Practice Address - Country:US
Practice Address - Phone:336-859-5001
Practice Address - Fax:336-859-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty