Provider Demographics
NPI:1295149342
Name:BAKER, AUSIN NEAL LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:AUSIN
Middle Name:NEAL LYNN
Last Name:BAKER
Suffix:
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 1:6318 FM 1488 RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2763
Mailing Address - Country:US
Mailing Address - Phone:801-400-3858
Mailing Address - Fax:
Practice Address - Street 1:4507 W DAVIS ST STE 170
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-5392
Practice Address - Country:US
Practice Address - Phone:713-944-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29936122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist