Family Dentistry Of Laurel

LBN: Jun Tae Bae, Dds, Pa
Family Dentistry Of Laurel is an health care organization with primary practice located at 13974 Baltimore Ave , Laurel MD 20707-5086. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jun Tae Bae, Dds, Pa can be contacted via phone (301) 490-8200, or through Bae, Jun Tae via phone (301) 490-8200.

Contact Information

Primary practice address
13974 Baltimore Ave Laurel MD 20707-5086
Phone: (301) 490-8200
Fax: (301) 490-4300
Website:
Map and Directions
Authorized official contact:
Name: Bae, Jun Tae Doctor of Dental Surgery (DDS)
Phone: (301) 490-8200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11589 Maryland

Profile Details

NPI number 1588954366
LBN Legal business name Jun Tae Bae, Dds, Pa
DBA Doing business as Family Dentistry Of Laurel
Authorized official Bae, Jun Tae Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2011
Last updated Apr 13th, 2011 - about 15 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 1588954366 NPPES
Maryland MEDICAID 013172500

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