PETER H. BAE DDS DENTAL CORPORATION (NPI# 1740495290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740495290 |
| Entity Type | Organization |
| Organization Name | PETER H. BAE DDS DENTAL CORPORATION |
| Practice Address |
556 W Badillo St Covina CA 91722-3762 |
| Practice Telephone | 6263324063 |
| Mailing Telephone | 3106778000 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | DR. PETER HYUN BAE (OWNER) |
| Authorized Official Telephone | 3106778000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
50034 | CA | Dental Providers |
| Street Address |
556 W BADILLO ST |
| City | COVINA |
| State | CA |
| Zip Code | 91722-3762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396915 | Chen & Trieu Professional Dental Corp. | Dentist | 20810 E Arrow Hwy, Covina, CA 91724-1319 | 2019-10-06 |
| 1538675228 | Danny Tran Dental Corp | Dentist | 166 W College St Ste C, Covina, CA 91723-2070 | 2017-12-18 |
| 1962923672 | Dynamic Dental Design | Dentist | 583 N Azusa Ave, Covina, CA 91722-3502 | 2017-07-03 |
| 1699924225 | Jeffrey L Cohen | Dentist | 204 W College St, Covina, CA 91723-1902 | 2008-09-18 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1104010024 | Flores, Augusto, Dmd, Inc | Dentist | 4708 N Grand Ave, Covina, CA 91724-2005 | 2007-09-04 |
| 1053502344 | Richard Martin Cohrs | Dentist | 554 West Badillo Street, Covina, CA 91722-3762 | 2007-08-05 |
| 1639389836 | Kenneth A Karamyan Dds Inc | Dentist | 1383 N Citrus Ave, Covina, CA 91722-1748 | 2007-05-23 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1326161779 | Win Tun | Dentist | 233 W Badillo St Ste D, Covina, CA 91723-1966 | 2007-04-09 |
| Find all providers in COVINA | ||||
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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.