Provider Demographics
NPI:1366824799
Name:BAKER, MARTIN NEAL (DDS)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:NEAL
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 1:1312 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2212
Mailing Address - Country:US
Mailing Address - Phone:252-637-1919
Mailing Address - Fax:252-637-3317
Practice Address - Street 1:1312 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2212
Practice Address - Country:US
Practice Address - Phone:252-637-1919
Practice Address - Fax:252-637-3317
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC100751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice