BAEK DENTAL GROUP (NPI# 1144619180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144619180 |
| Entity Type | Organization |
| Organization Name | BAEK DENTAL GROUP |
| Other Organization Name | RYAN BAEK DENTAL |
| Practice Address |
428 Pennsylvania Ave Fort Washington PA 19034-3413 |
| Practice Telephone | 2156430300 |
| Practice Fax Number | 2156430333 |
| Mailing Telephone | 2156430300 |
| Mailing Fax Number | 2156430333 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | AERI (KATIE) BAEK (OFFICE MANAGER) |
| Authorized Official Telephone | 2156430300 |
| Is Organization Subpart | Y |
| Parent Organization Name | RYAN BAEK DENTAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS037069 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101930230 | 05 |
| Other Name | Type Code |
|---|---|
| Ryan Baek Dental | Doing Business As Name - Organization |
| Street Address |
428 PENNSYLVANIA AVE |
| City | FORT WASHINGTON |
| State | PA |
| Zip Code | 19034-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184826042 | Fort Washington Family & Cosmetic Dentistry | Dentist | 428 Pennsylvania Ave, Fort Washington, PA 19034-3413 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038810 | Child and Family Focus, Inc. | Community/Behavioral Health | 800 Losh Alsh Avenue, Fort Washington, PA 19034 | 2018-06-27 |
| 1902398688 | Axia Ambulatory Surgery Center | Clinic/Center | 476 Pennsylvania Ave, Suite 202b, Fort Washington, PA 19034 | 2018-05-30 |
| 1336691245 | Elverl Fully | Registered Nurse | 500 Office Center Drive, Suite 400, The Ellison's Nursing Group, LLC, Fort Washington, PA 19034 | 2016-10-26 |
| 1881140028 | Sulvena Pierre | Licensed Practical Nurse | 500 Office Center Drive, Suite 400 Fort Washington, Fort Washington, PA 19034 | 2016-08-28 |
| 1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
| 1699145821 | Anna Oldfield | Nurse Practitioner | 735 Susquehanna Rd, Fort Washington, PA 19034 | 2015-09-30 |
| 1598149247 | Victoria T Adepoju | Licensed Practical Nurse | 500 Office Centre Drive Suite 400, Fort Washinghton, PA 19034 | 2015-07-13 |
| 1700210408 | Wendy Lynn Holmes | Physical Therapy Assistant | 735 Susquehanna Rd., Fort Washington Estates, Fort Washington, PA 19034 | 2013-08-29 |
| 1629316567 | The Ellison Nursing Group | Licensed Practical Nurse | 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 | 2013-01-28 |
| 1841540416 | Barbara Portnoy | Dentist | 1244 Ft. Washington Ave., Suite M-1, Fort Washington, PA 19034 | 2012-09-11 |
| Find all providers in zip 19034 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108843 | Delaware Valley Healthcare Investment LLC | Dentist | 401 Commerce Dr Ste 108, Fort Washington, PA 19034-2724 | 2017-11-28 |
| 1639510464 | Meshari Al-abdulhadi | Dentist | 401 Commerce Drive, Suite 101, Fort Washington, PA 19034-3171 | 2013-07-09 |
| 1174752018 | Paola Rodriguez Bukovcan | Dentist | 1244 Fort Washington Ave Ste A, Fort Washington, PA 19034-1743 | 2009-07-14 |
| 1104083443 | Beth Lucy Rogers | Dentist | 1003 Hawthorne Ln, Fort Washington, PA 19034-1736 | 2008-05-22 |
| 1861529984 | John P Grigger | Dentist | 416 S Bethlehem Pike, Fort Washington, PA 19034-3418 | 2007-02-27 |
| 1366580078 | John Linder Watstein | Dentist | 10905 Fort Washington Road, Suite #407, Fort Washington, MD 20744-5807 | 2007-02-02 |
| 1538229992 | Evelyn T Campbell-leach | Dentist | 9500 Livingston Rd, Fort Washington, MD 20744-4918 | 2006-12-08 |
| 1063523900 | Sanjiv Bhatia Dds PC | Dentist | 924 E Swan Creek Rd, Fort Washington, MD 20744 | 2006-08-31 |
| 1780675298 | Niranjan M Savani | Dentist | 401 Commerce Dr, Suite 108, Fort Washington, PA 19034-2714 | 2005-11-03 |
| 1245856749 | Jlee Dental Clinic, Pllc | Dentist | 416 S Bethlehem Pike, Fort Washington, PA 19034-3418 | 2020-06-19 |
| Find all providers in FORT WASHINGTON | ||||
| City | FORT WASHINGTON |
| Zip Code | 19034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.