Healthcare Provider Details

I. General information

NPI: 1528985306
Provider Name (Legal Business Name): ADRIANA F BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADRIANA SMOLIK

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 W ROOSEVELT HWY
SHELBY MT
59474-1549
US

IV. Provider business mailing address

1950 W ROOSEVELT HWY
SHELBY MT
59474-1549
US

V. Phone/Fax

Practice location:
  • Phone: 406-434-3110
  • Fax: 406-434-3143
Mailing address:
  • Phone: 406-434-3110
  • Fax: 406-434-3143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number123456
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: