Provider Demographics
NPI:1447831052
Name:FIRST CITY FAMILY AND COSMETIC DENTISTRY
Entity type:Organization
Organization Name:FIRST CITY FAMILY AND COSMETIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:COSMETIC
Authorized Official - Last Name:BAKER DAMRON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:912-354-1420
Mailing Address - Street 1:702 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4506
Mailing Address - Country:US
Mailing Address - Phone:912-354-1420
Mailing Address - Fax:
Practice Address - Street 1:702 E 66TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4506
Practice Address - Country:US
Practice Address - Phone:912-354-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty