person
Geon Bae, DMD
Pediatric Dentist in Anchorage, Alaska
NPI 1811355456

Geon Bae is a Pediatric Dentist based in Wasilla, AK and is specialized in Pediatric Dentistry. Geon Bae practices in Anchorage, AK and has the professional credentials of DMD. The NPI Number for Geon Bae is 1811355456 and holds a License No. 139529 (Alaska).

The current practice location address for Geon Bae is 3340 Providence Dr Ste 552, Anchorage, AK and can be reached out via phone at 907-336-1234 and via fax at 907-336-4321.

Location: 3340 Providence Dr Ste 552, Anchorage, AK, 99654-7294
person
Provider Profile Details
NPI Number
1811355456
Provider Name
Geon Bae
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3340 Providence Dr Ste 552, Anchorage, AK, 99654-7294
Phone Number
907-336-1234
Fax Number
907-336-4321
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3340 Providence Dr Ste 552
City
State
Zip
99508
Phone Number
907-336-1234
Fax Number
907-336-4321
person
Provider Business Mailing Address Details
Address
3340 Providence Dr Ste 552
City
State
Zip
99508
Phone Number
907-336-1234
Fax Number
907-336-4321
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
139529 (Alaska)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
139529 (Alaska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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