Provider Demographics
NPI:1770574287
Name:BAKER, JAMES A I (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:BAKER
Suffix:I
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:PO BOX 108811
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73101-8811
Mailing Address - Country:US
Mailing Address - Phone:405-848-7974
Mailing Address - Fax:405-848-0033
Practice Address - Street 1:8301 S WALKER AVE STE 101
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-9416
Practice Address - Country:US
Practice Address - Phone:405-636-4230
Practice Address - Fax:405-634-7994
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK39001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKT79897Medicare UPIN