IndividualActive
Dwight Baker, D.D.S., M.S.
NPI 1053496083 · Orthodontics and Dentofacial Orthopedics Dentistry · Idaho Falls, ID
Provider details
- NPI number
- 1053496083
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-1911-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
1900 John Adams Pkwy
Idaho Falls, ID 83401-4366
Phone: (208) 524-0644
Fax: (208) 524-6100
Approximate (ZIP-level) locationGet directions
Mailing address
1900 John Adams Pkwy
Idaho Falls, ID 83401-4366
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.