DR. HYUNG JIN BAE (NPI# 1770858730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770858730 |
| Entity Type | Individual |
| Full Name | DR. HYUNG JIN BAE |
| Credential | DDS, MS |
| Practice Address |
16069 Comprint Cir Gaithersburg MD 20877-1321 |
| Mailing Address |
7707 Wisconsin Ave Apt 332 Bethesda MD 20814-6540 |
| Practice Telephone | 3015278480 |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
17047 | MD | Dental Providers |
| Street Address |
16069 COMPRINT CIR |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487708673 | Robin Heather Pollack | Dentist | 8901 Shady Grove Ct, Gaithersburg, MD 20877-1308 | 2007-01-23 |
| 1730243775 | Chi-tsai Yeh | Dentist | 953 Russell Ave, Suite A, Gaithersburg, MD 20879-3284 | 2006-12-21 |
| 1427123603 | Peter David Hadeed | Dentist | 925 Russell Ave, Suite A, Gaithersburg, MD 20879-3252 | 2006-11-22 |
| 1881655629 | Mark B Winnick | Dentist | 802 Russell Ave, Suite 3a, Gaithersburg, MD 20879-3506 | 2006-03-31 |
| 1104282201 | Behnaz Yalda Dmd PC | Dentist | 803 Russell Ave, Suite 3a, Gaithersburg, MD 20879-3584 | 2016-01-06 |
| 1770584849 | Gerard Boquel | Dentist | 903 Russell Ave, Suite 300, Gaithersburg, MD 20879-3282 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702133 | Hirschel Wohl | Dentist | 2021b Emmorton Rd Ste 118, Bel Air, MD 21015-8958 | 2020-08-26 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1508386772 | David A Mugford Dmd Pa | Dentist | 1660 Village Grn # 104, Crofton, MD 21114-2033 | 2017-06-20 |
| 1407396369 | Gonzalo Blasi | Dentist | 305 W Fayette St Apt 1412, Baltimore, MD 21201-3466 | 2017-02-26 |
| 1790149052 | Kevin George Murphy | Dentist | 6080 Falls Rd #202, Baltimore, MD 21209-2498 | 2016-04-12 |
| 1124410741 | Andres Jimenez Wolf | Dentist | 13975 Connecticut Ave Ste 311, Silver Spring, MD 20906-2921 | 2015-02-19 |
| 1558610444 | Mary Gray Lee | Dentist | 6080 Falls Road, Suite 202, Baltimore, MD 21209 | 2012-09-06 |
| 1063760486 | Rei Sekiguchi | Dentist | 9000 Rockville Pike Bldg 30, Bethesda, MD 20892-4370 | 2012-08-15 |
| 1811244627 | Kim-thi Van-dinh | Dentist | 3801 Canterbury Rd, Unit 407, Baltimore, MD 21218-2370 | 2012-08-10 |
| 1245500495 | Sheldon Holen | Dentist | 5550 Friendship Blvd Ste 520, Chevy Chase, MD 20815-7302 | 2012-01-05 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.