Provider Demographics
NPI:1770992117
Name:BAKER, MARIA HELENA (DDS, MA)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:HELENA
Last Name:BAKER
Suffix:
Gender:F
Credentials:DDS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16921 HAWKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-5808
Mailing Address - Country:US
Mailing Address - Phone:813-535-0614
Mailing Address - Fax:
Practice Address - Street 1:16921 HAWKRIDGE RD
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-5808
Practice Address - Country:US
Practice Address - Phone:813-535-0614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL# DN 20880122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL# DN 20880OtherFL LICENSE NUMBER (EXPIRES FEBRUARY 28, 2016)