BAEK DENTAL, P.C. (NPI# 1275957532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275957532 |
| Entity Type | Organization |
| Organization Name | BAEK DENTAL, P.C. |
| Other Organization Name | PAUL W. BAEK, D.M.D. |
| Practice Address |
1400 Centre St Suite 106 Newton Centre MA 02459-2454 |
| Practice Telephone | 6176302828 |
| Mailing Telephone | 6176302828 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |
| Authorized Official Name | DR. PAUL WOOJONG BAEK (DENTIST/OWNER) |
| Authorized Official Telephone | 6176302828 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN20938 | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Paul W. Baek, D.M.D. | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | BAEK DENTAL, P.C. | 1400 Centre St., Unit 106, Newton Centre, MA 02459 |
| Street Address |
1400 CENTRE ST SUITE 106 |
| City | NEWTON CENTRE |
| State | MA |
| Zip Code | 02459-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538650 | Joanie A. Piken I | Social Worker | 1400 Centre St, Suite 105, Newton Centre, MA 02459-2454 | 2005-12-11 |
| 1336675552 | Barry J Goldberg Dmd PC | Clinic/Center | 1400 Centre St, 103, Newton Centre, MA 02459-2454 | 2017-05-08 |
| 1154742013 | Aimee Lataille | Social Worker | 1400 Centre St, Suite 203, Newton Centre, MA 02459-2454 | 2013-12-19 |
| 1811284664 | Barry J Goldberg Dmd PC | Clinic/Center | 1400 Centre St, Suite 101a, Newton Centre, MA 02459-2454 | 2011-06-30 |
| 1619119815 | Elizabeth R Graves-witherell | Physician Assistant | 1400 Centre St, Newton Centre, MA 02459-2454 | 2009-04-02 |
| 1073768859 | Rebecca Colacchio Thompson | Counselor | 1400 Centre St, Suite 105, Newton Centre, MA 02459-2454 | 2008-11-20 |
| 1639344831 | Sheldon Peck | Dentist | 1400 Centre St, Suite 209, Newton Centre, MA 02459-2454 | 2008-04-28 |
| 1760661540 | Kirsi M Savusalo | Dentist | 1400 Centre St, Rm 209, Newton Centre, MA 02459 | 2007-10-30 |
| 1134336654 | Paul Woojong Baek | Dentist | 1400 Centre St, Suite 106, Newton Centre, MA 02459-2454 | 2007-05-16 |
| 1265566681 | Steven Roy Bader | Dentist | 1400 Centre St, Suite 106, Newton Centre, MA 02459-2454 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
| 1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
| 1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
| Find all providers in zip 02459 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336675552 | Barry J Goldberg Dmd PC | Clinic/Center | 1400 Centre St, 103, Newton Centre, MA 02459-2454 | 2017-05-08 |
| 1811284664 | Barry J Goldberg Dmd PC | Clinic/Center | 1400 Centre St, Suite 101a, Newton Centre, MA 02459-2454 | 2011-06-30 |
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| 1417557463 | Marva Khalid Dentistry PC | Clinic/Center | 105 Chestnut St Ste 25, Needham, MA 02492-2520 | 2020-10-29 |
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| 1326646399 | Restoration Smiles, P.C. | Clinic/Center | 2 Coolidge St Ste 202, Hudson, MA 01749-1459 | 2020-10-13 |
| 1295333573 | Brian P. Ganley, Dmd, PC | Clinic/Center | 134 Main St Unit 1c, Groton, MA 01450-1375 | 2020-10-09 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1831703099 | Beacon Dental Health PC | Clinic/Center | 80 Washington St Bldg B, Norwell, MA 02061-1740 | 2020-09-04 |
| 1487267282 | Shoe City Family Dental PC | Clinic/Center | 103 Merrimack St, Haverhill, MA 01830-6208 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | NEWTON CENTRE |
| Zip Code | 02459 |
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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.