Aesthetics Dentistry,Inc.
Organization Active NPI Dentist · Bellevue, WA
NPI 1194933291 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1194933291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- DE7058 (WA)
- Legal business name
- AESTHETICS DENTISTRY,INC.
- Practice address
- 11410 NE 19TH St
Bellevue, WA 98004-3030 - Phone
- (425) 635-9414
- Fax
- (425) 688-1657
- NPI assigned
- May 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Chan K. Bae, D.M.D
- Title
- Dentist
- Phone
- (425) 635-9414
Practitioners 2
-
Chan K Bae, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | DE7058 | WA | Yes |
Addresses
Primary practice location
11410 NE 19TH St
Bellevue, WA 98004-3030
Mailing address
11410 NE 19TH St
Bellevue, WA 98004-3030
Phone (425) 635-9414
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.