Provider Demographics
NPI:1770693343
Name:BAKER, BELINDA M (DMD)
Entity type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:M
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 1:600 INDIAN TRL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1312
Mailing Address - Country:US
Mailing Address - Phone:254-699-7757
Mailing Address - Fax:254-699-8218
Practice Address - Street 1:600 INDIAN TRL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1312
Practice Address - Country:US
Practice Address - Phone:254-699-7757
Practice Address - Fax:254-699-8218
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154948701Medicaid