Active NPIIndividual providerSole proprietor

Sun Youn Bae, DMD

Dentist, General Practice in Billerica, Massachusetts

NPI Number1174223812
Practice location
790 Boston RD Ste 201, Billerica, MA 01821-5919
Fax
—
Last updated
July 3, 2024

Sun Youn Bae is a Dentist, General Practice based in Billerica, MA. Sun Youn Bae practices in Billerica, MA and has the professional credentials of DMD. The NPI Number for Sun Youn Bae is 1174223812 and holds a License No. DN10000371 (MA). The current practice location address for Sun Youn Bae is 790 Boston RD Ste 201, Billerica, MA 01821-5919 and can be reached out via phone at 978-528-3359.

Provider Profile Details

NPI Number
1174223812
Provider Name
Sun Youn Bae
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
790 Boston RD Ste 201, Billerica, MA 01821-5919
Phone Number
978-528-3359
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2023
Last Update Date
July 3, 2024
Certification Date
July 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
790 Boston RD Ste 201
Billerica, MA 01821-5919
Zip
01821-5919
Phone Number
978-528-3359
Billerica, MA 01821Get directions →

Provider Business Mailing Address Details

Address
790 Boston RD Ste 201
Billerica, MA 01821-5919
City
Billerica
State
MA
Zip
01821-5919

License Information

License Number
DN10000371
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sun Youn Bae, DMD?

The NPI number of Sun Youn Bae, DMD is 1174223812. It was assigned on March 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Sun Youn Bae, DMD?

Sun Youn Bae, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN10000371.

Where does Sun Youn Bae, DMD practice?

The practice location is 790 Boston RD Ste 201, Billerica, MA 01821-5919. The office can be reached at 978-528-3359 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174223812 directly on the NPPES registry website.

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