National Provider Identifier

Robert Warren Baker Jr., DMD

Robert Warren Baker Jr., DMD is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Ithaca, NY and a listed phone number of (607) 272-3921.

NPI 1619012622Ithaca, NYOrthodontics and Dentofacial Orthopedics Dentistry

Profile Overview

NPI
1619012622
Provider Type
Individual
Primary Specialty
Orthodontics and Dentofacial Orthopedics Dentistry
Enumeration Date
February 20, 2007
Last Updated
January 15, 2013

Practice Location

  • 412 N Tioga St
  • Ithaca, NY 14850-4256

Phone: (607) 272-3921

Mailing Address

  • 86 Tehan RD
  • Freeville, NY 13068-9677

Specialties

  • Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
NPI
1619012622
Entity Type
Individual
Last Name
Baker
First Name
Robert
Middle Name
Warren
Name Prefix
Dr.
Name Suffix
Jr.
Credential
DMD
Mailing Street Address
86 Tehan RD
Mailing City
Freeville
Mailing State
NY
Mailing ZIP Code
13068-9677
Mailing Country
US
Mailing Phone
(607) 844-9090
Practice Street Address
412 N Tioga St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4256
Practice Country
US
Practice Phone
(607) 272-3921
Enumeration Date
February 20, 2007
Last Updated
January 15, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)