BETITA BAKER DENTAL PARTNERSHIP
NPI 1962068478
Oral & Maxillofacial Surgery in Dana Point, CA

Q: What is Betita Baker Dental Partnership's NPI number?

The NPI number for Betita Baker Dental Partnership is 1962068478. It was assigned to this organization in the NPPES registry on May 10, 2019.

Q: What is Betita Baker Dental Partnership's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since May 10, 2019CLIA 05D2242355 · Waiver

32241 CROWN VALLEY PKWY STE 220, DANA POINT, CA 92629(949) 240-2280 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Betita Baker Dental Partnership NPPES

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

BETITA BAKER DENTAL PARTNERSHIP (NPI 1962068478) is a healthcare organization registered as an oral & maxillofacial surgery in Dana Point, California and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Timothy Betita, Partner, as its authorized official.

NPPES Registry Identity

NPI1962068478

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameBETITA BAKER DENTAL PARTNERSHIP

Location Address32241 CROWN VALLEY PKWY STE 220Dana Point, CA 92629-3310

Mailing Address32241 Crown Valley Pkwy Ste 220Dana Point, CA 92629-3310 · (949) 240-2280

Phone(949) 240-2280

Organization SubpartNo

Authorized OfficialTimothy BetitaPartner · (949) 240-2280

Enumeration DateMay 10, 2019

✔ NPI 1962068478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

32241 CROWN VALLEY PKWY STE 220, Dana Point, CA 92629

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2242355

Betita Baker Dental Partnership · Dana Point, CA

Active · expires Nov 7, 2027

CLIA Number05D2242355

Laboratory TypePhysician Office

Certificate Effective DateNovember 8, 2025

Certificate Expiration DateNovember 7, 2027

Laboratory DirectorBetita Baker

Laboratory Phone(949) 240-2280

Laboratory LocationBetita Baker Dental Partnership32241 Crown Valley Pkwy #220, Dana Point, CA 92629

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ERIC BAKER DDS, MD INC

Clinic/Center (Oral and Maxillofacial Surgery)