Mr. Kwang S Bae, DDS
Dentist, General Practice in South Orange, New Jersey
1891967733- Practice location
- 172 Irvington Avenue, Suite A, South Orange, NJ 07079
- Phone
- 973-275-6260
- Fax
- 973-275-6270
- Last updated
- June 11, 2025
Kwang Soo Bae is a Dentist, General Practice based in South Orange, NJ. Kwang Soo Bae practices in South Orange, NJ and has the professional credentials of DDS. The NPI Number for Kwang Soo Bae is 1891967733 and holds a License No. DI019644 (NJ). The current practice location address for Kwang Soo Bae is 172 Irvington Avenue, Suite A, South Orange, NJ 07079 and can be reached out via phone at 973-275-6260 and via fax at 973-275-6270.
Provider Profile Details
- NPI Number
- 1891967733
- Provider Name
- Kwang Soo Bae
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 172 Irvington Avenue, Suite A, South Orange, NJ 07079
- Phone Number
- 973-275-6260
- Fax Number
- 973-275-6270
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2008
- Last Update Date
- June 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 172 Irvington Avenue
Suite A
South Orange, NJ 07079 - City
- South Orange
- State
- New Jersey
- Zip
- 07079
- Phone Number
- 973-275-6260
- Fax Number
- 973-275-6270
Provider Business Mailing Address Details
- Address
- 172 Irvington Avenue
Suite A
South Orange, NJ 07079 - City
- South Orange
- State
- NJ
- Zip
- 07079
- Phone Number
- 973-275-6260
- Fax Number
- 973-275-6270
License Information
- License Number
- DI019644
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near South Orange, NJ
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Frequently Asked Questions
What is the NPI number of Mr. Kwang S Bae, DDS?
The NPI number of Mr. Kwang S Bae, DDS is 1891967733. It was assigned on April 1, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Kwang S Bae, DDS?
Mr. Kwang S Bae, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI019644.
Where does Mr. Kwang S Bae, DDS practice?
The practice location is 172 Irvington Avenue, Suite A, South Orange, NJ 07079. The office can be reached at 973-275-6260 (phone) or 973-275-6270 (fax).
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 1891967733 directly on the NPPES registry website.