<Unavail>

LBN: Baek Dental Group
<Unavail> is an health care organization with primary practice located at 428 Pennsylvania Ave , Fort Washington PA 19034-3413. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Baek Dental Group can be contacted via phone (215) 643-0300, or through Baek, Aeri (Katie) via phone (215) 643-0300.

Contact Information

Primary practice address
428 Pennsylvania Ave Fort Washington PA 19034-3413
Phone: (215) 643-0300
Fax: (215) 643-0333
Website:
Map and Directions
Authorized official contact:
Name: Baek, Aeri (Katie)
Phone: (215) 643-0300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS037069 Pennsylvania

Profile Details

NPI number 1144619180
LBN Legal business name Baek Dental Group
DBA Doing business as <Unavail>
Authorized official Baek, Aeri (Katie)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 14th, 2015
Last updated Jan 14th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144619180 NPPES
Pennsylvania MEDICAID 101930230

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