KINGS MOUNTAIN MEDICAID DENTISTRY
NPI 1578720967
Dentist - General Practice in Kings Mountain, NC

Active since May 22, 2008
107 E MOUNTAIN ST, KINGS MOUNTAIN, NC 28086(704) 739-4473 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kings Mountain Medicaid Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGS MOUNTAIN MEDICAID DENTISTRY (NPI 1578720967) is a healthcare organization registered as a general practice in Kings Mountain, North Carolina and active in the NPI registry since May 2008. The organization lists Richard F Dest, Registered Agent/member, as its authorized official.

NPPES Registry Identity

NPI1578720967
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBAKER, DEST, BAKER, DDS, PLLC
Location Address107 E MOUNTAIN STKings Mountain, NC 28086-3442
Mailing Address8305 University Exec Park Dr, Suite 300Charlotte, NC 28262-1361 · (704) 547-1279 · Fax (704) 547-8383
Organization SubpartNo
Authorized OfficialRichard F DestRegistered Agent/member · (704) 547-1279
Enumeration DateMay 22, 2008
Last NPPES UpdateMay 28, 2008
NPI 1578720967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NC · 5283
Definition
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.
107 E MOUNTAIN ST, Kings Mountain, NC 28086

Other Names 1

Doing Business AsKings Mountain Medicaid Dentistry

Other Identifiers 1

Medicaid890175TNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
107 E MOUNTAIN ST
KINGS MOUNTAIN, NC 28086
Dentist (General Practice)
107 E MOUNTAIN ST
KINGS MOUNTAIN, NC 28086
Dentist (General Practice)
107 E MOUNTAIN ST
KINGS MOUNTAIN, NC 28086
Dentist
107 E MOUNTAIN ST, 107 E MOUNTAIN STREET
KINGS MOUNTAIN, NC 28086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baker, Dest, Baker, Dds, PLLC's NPI number?

The NPI number for Baker, Dest, Baker, Dds, PLLC is 1578720967. It was assigned to this organization in the NPPES registry on May 22, 2008. The provider is doing business as Kings Mountain Medicaid Dentistry.

Where is Baker, Dest, Baker, Dds, PLLC located?

Baker, Dest, Baker, Dds, PLLC is located at 107 E Mountain St, Kings Mountain, NC 28086. The listed phone number is (704) 739-4473.

What is Baker, Dest, Baker, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Baker, Dest, Baker, Dds, PLLC was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.