Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN MICHELLE BAKER, DDS
ActiveDental Public Health · IVINS, UT
Registration Details
- NPI Number
- 1003817271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2005 (20.700338344376 yrs)
- Last Updated
- Mar 22, 2023
- Licenses
-
9648 (MD)6413406-9922 (UT)
Practice Information
- Address
-
1215 E SNOW CANYON PKWY UNIT 402IVINS, UT, 847386818Browse UT providers · Browse ZIP 84738
- Phone
- 4353410028
- Fax
- 4357039960
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.