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Contact Information

JASON E BAKER DDS LLC
77 SOUTH SHORE DRIVE
MIRAMAR BEACH, FL32550
 Phone: 850-650-2070
 Fax: 850-650-2073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JASON E BAKER DDS LLC · (Female)

NPI Number 1093051344
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2012
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 17784
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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