BAKER, DEST, BAKER, DDS, PLLC (NPI# 1578720967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578720967 |
| Entity Type | Organization |
| Organization Name | BAKER, DEST, BAKER, DDS, PLLC |
| Other Organization Name | KINGS MOUNTAIN MEDICAID DENTISTRY |
| Practice Address |
107 E Mountain St Kings Mountain NC 28086-3442 |
| Mailing Address |
8305 University Exec Park Dr Suite 300 Charlotte NC 28262-1361 |
| Practice Telephone | 7047394473 |
| Mailing Telephone | 7045471279 |
| Mailing Fax Number | 7045478383 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | DR. RICHARD F DEST (REGISTERED AGENT/MEMBER) |
| Authorized Official Telephone | 7045471279 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5283 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890175T | 05 |
| Other Name | Type Code |
|---|---|
| Kings Mountain Medicaid Dentistry | Doing Business As Name - Organization |
| Street Address |
107 E MOUNTAIN ST |
| City | KINGS MOUNTAIN |
| State | NC |
| Zip Code | 28086-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303668 | George & Dest, Dds, Pllc | Dentist | 107 E Mountain St, Kings Mountain, NC 28086-3442 | 2018-07-26 |
| 1386663011 | Stephen Alan Baker | Dentist | 107 E Mountain St, Kings Mountain, NC 28086-3442 | 2006-07-19 |
| 1841219524 | Bryan Scott Baker | Dentist | 107 E Mountain St, 107 E Mountain Street, Kings Mountain, NC 28086-3442 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252493 | Mary Elizabeth Mann | Speech-Language Pathologist | 1563 Lewis Farm Rd, Kings Mountain, NC 28086 | 2015-08-04 |
| 1831404847 | Sandra Shuford Satterfield | Nurse Practitioner | 500 Phifer Road, Kings Mountain, NC 28086 | 2010-08-13 |
| 1821317868 | Crawley Memorial Hospital Inc | Long Term Care Hospital | 706 West King Street, Kings Mountain, NC 28086 | 2010-05-28 |
| 1639408248 | Self-determination LLC | Clinic/Center | 103 Ebenezer Rd, Kings Mtn, NC 28086 | 2009-12-09 |
| 1770731515 | Ingles Markets Inc | Pharmacy | 2111 Shelby Rd, Kings Mountain, NC 28086 | 2008-09-05 |
| 1659553832 | Jerry Marvin Utt | Social Worker | 301 East Parker Street, Kings Mountain, NC 28086 | 2007-11-29 |
| 1518087766 | Educare Community Living Corporation - North Carolina | Community/Behavioral Health | 112 Wooding Pl, Kings Mountain, NC 28086 | 2007-03-30 |
| 1093831679 | Mark David Lovelace | Pharmacist | 1114 West Gold Street, Extension, Kings Mountain, NC 28086 | 2007-03-22 |
| 1417016023 | Acrolyst Physician Resources | Internal Medicine | 827 E King Street, Kings Mountain, NC 28086 | 2006-12-08 |
| 1730248865 | Kmeg Resource Corp Pa | Internal Medicine | 827 East King Street, Kings Mtn, NC 28086 | 2006-12-06 |
| Find all providers in zip 28086 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619270618 | Andy Hollifield, D.m.d., P.a. | Dentist | 203 S Juniper St, Kings Mountain, NC 28086-3220 | 2010-12-13 |
| 1649448549 | Roger K Miller Dds Pa | Dentist | 1303 Plaza Dr, Kings Mountain, NC 28086-2653 | 2008-02-13 |
| 1063522787 | Daniel Morgan Raiford | Dentist | 706 West King St, Kings Mountain, NC 28086 | 2006-08-30 |
| 1306866553 | Roger K Miller | Dentist | 1303 Plaza Dr., Kings Mountain, NC 28086 | 2006-07-20 |
| 1629699566 | Marshall Alexander Fleming | Dentist | 1303 Plaza Dr, Kings Mountain, NC 28086-2653 | 2020-05-01 |
| 1770136103 | Alliance Dental Group | Dentist | 1303 Plaza Dr, Kings Mountain, NC 28086-2653 | 2019-07-24 |
| 1891354346 | Zachary Codey Williams | Dentist | 1303 Plaza Dr, Kings Mountain, NC 28086-2653 | 2019-06-09 |
| 1104303668 | George & Dest, Dds, Pllc | Dentist | 107 E Mountain St, Kings Mountain, NC 28086-3442 | 2018-07-26 |
| 1124287560 | James Bruce Lyon | Dentist | 706 W King St, Kings Mountain, NC 28086-2708 | 2008-06-02 |
| 1386663011 | Stephen Alan Baker | Dentist | 107 E Mountain St, Kings Mountain, NC 28086-3442 | 2006-07-19 |
| Find all providers in KINGS MOUNTAIN | ||||
| City | KINGS MOUNTAIN |
| Zip Code | 28086 |
Please comment or provide details below to improve the information on BAKER, DEST, BAKER, DDS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.