Dr. Derrick Ray Baca
Dental Public Health
5608 Zuni Rd Se
Albuquerque
, New Mexico 87108-2926
Dr. Derrick Ray Baca
Dental Public Health
5608 Zuni Rd Se
Albuquerque
, New Mexico 87108-2926
(505) 262-6547
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Derrick Ray Baca
- 5608 Zuni Rd Se
- Albuquerque, NM
- Zip : 87108-2926
- Phone : (505) 262-6547
Second Address
- Dr. Derrick Ray Baca
- 5608 Zuni Rd Se
- Albuquerque, NM
- Zip : 87108-2926
- Phone : (505) 262-6547
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DD3492 | NM |
National Provider Identifier
| NPI | 1295014769 |
|---|---|
| Provider Name | Dr. Derrick Ray Baca |
| First Address | Albuquerque, NM 87108-2926 |
| Second Address | Albuquerque, NM 87108-2926 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/08/2011 |
| Last Update Date | 15/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.