- Practice location
- 408 Lancaster Dr NE, Salem, OR 97301-4728
- Phone
- 503-980-4563
- Fax
- —
- Last updated
- November 13, 2022
Goun Bak is a Dentist based in Salem, OR. Goun Bak practices in Salem, OR and has the professional credentials of DMD. The NPI Number for Goun Bak is 1528791241 and holds a License No. D11713 (OR). The current practice location address for Goun Bak is 408 Lancaster Dr NE, Salem, OR 97301-4728 and can be reached out via phone at 503-980-4563.
Provider Profile Details
- NPI Number
- 1528791241
- Provider Name
- Goun Bak
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 408 Lancaster Dr NE, Salem, OR 97301-4728
- Phone Number
- 503-980-4563
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 9, 2022
- Last Update Date
- November 13, 2022
- Certification Date
- November 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 408 Lancaster Dr NE
Salem, OR 97301-4728 - City
- Salem
- State
- Oregon
- Zip
- 97301-4728
- Phone Number
- 503-980-4563
Provider Business Mailing Address Details
- Address
- 11974 SW 72ND Ave Apt 221
Tigard, OR 97223-6087 - City
- Tigard
- State
- OR
- Zip
- 97223-6087
- Phone Number
- 207-312-2845
License Information
- License Number
- D11713
- License State
- OR
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Salem, OR
View all Dentists in Salem →- Daniel Adair, DDSDentist · NPI 1609287143
- Lee R Albrecht, DMDDentist · NPI 1639338130
- Mr. Brad L Bateman, DMDDentist · NPI 1578557823
- Sarah J Barbettini, MS, CCC-SLPSpeech-Language Pathologist, · NPI 1881970069
- Oscar E AlvarezCounselor, Mental Health · NPI 1710885009
- Monica D Alewine, LCSWSocial Worker, Clinical · NPI 1144500927
Frequently Asked Questions
What is the NPI number of Goun Bak, DMD?
The NPI number of Goun Bak, DMD is 1528791241. It was assigned on July 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Goun Bak, DMD?
Goun Bak, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in OR under license number D11713.
Where does Goun Bak, DMD practice?
The practice location is 408 Lancaster Dr NE, Salem, OR 97301-4728. The office can be reached at 503-980-4563 (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 1528791241 directly on the NPPES registry website.