Su Jin Bae, DDS

Dentist · Natick, MA

Individual Active NPI

NPI number 1962959320

Practice location

14 W Central St
Natick, MA 01760-4514
Phone
(508) 720-5000

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NPI record

NPI
1962959320
Entity type
Individual (Type 1)
Enumeration date
September 2, 2016
Last updated
June 22, 2024
Certified
June 22, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN1857747 MA

About Dr. Bae

Su Jin Bae, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 14 W Central St, Natick, MA 01760-4514. The NPI number 1962959320 was assigned on September 2, 2016 and the record was last updated on June 22, 2024.

Dr. Bae lists a license in the registry: #DN1857747 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Su Jin Bae, DDS?

The NPI number is 1962959320.

What is the phone number of Dr. Bae?

The phone number listed for the practice location is (508) 720-5000.

Where is Dr. Bae located?

14 W Central St, Natick, MA 01760-4514.

What is the taxonomy code for Dr. Bae?

The primary taxonomy code is 122300000X – Dentist.

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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