- Practice location
- 408 Lancaster Dr NE, Salem, OR 97301-4728
- Phone
- 503-980-4563
- Fax
- —
- Last updated
- November 13, 2022
Goun Bak, DMD is a Dentist based in Salem, OR. Goun Bak, DMD holds the professional credentials of DMD. The NPI number for Goun Bak, DMD is 1528791241 and holds license No. D11713 (OR). The current practice location address is 408 Lancaster Dr NE, Salem, OR 97301-4728 and the office can be reached by phone at 503-980-4563. The NPI was assigned on July 9, 2022 and the record was last updated in NPPES on November 13, 2022.
●Provider Profile Details
- NPI Number
- 1528791241
- Provider Name
- Goun Bak
- Credential
- DMD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Enumeration Date
- July 9, 2022
- Last Update Date
- November 13, 2022
- Certification Date
- November 13, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 408 Lancaster Dr NE
Salem, OR 97301-4728 - City
- Salem
- State
- Oregon
- ZIP
- 97301-4728
- Country
- US
- Phone Number
- 503-980-4563
✉Business Mailing Address
- Address
- 11974 SW 72ND Ave Apt 221
Tigard, OR 97223-6087 - City
- Tigard
- State
- OR
- ZIP
- 97223-6087
- Phone Number
- 207-312-2845
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist | 122300000X | Yes | D11713 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?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) and holds license No. D11713 (OR).
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 at npiregistry.cms.hhs.gov.