Sang Bae, DDS

General Practice Dentistry · Bothell, WA

Individual Active NPI

NPI number 1104147016

Practice location

1729 208TH St SE
#101
Bothell, WA 98012-7789
Phone
(425) 485-8885

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NPI record

NPI
1104147016
Entity type
Individual (Type 1)
Enumeration date
June 15, 2010
Last updated
June 15, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE 60056965 WA

Mailing address

13426 64TH Ave W
Edmonds, WA 98026-3246

About Dr. Bae

Sang Bae, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1729 208TH St SE, #101, Bothell, WA 98012-7789. The NPI number 1104147016 was assigned on June 15, 2010 and the record was last updated on June 15, 2010.

Dr. Bae lists a license in the registry: #DE 60056965 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sang Bae, DDS?

The NPI number is 1104147016.

What is the phone number of Dr. Bae?

The phone number listed for the practice location is (425) 485-8885.

Where is Dr. Bae located?

1729 208TH St SE, #101, Bothell, WA 98012-7789.

What is the taxonomy code for Dr. Bae?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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