Kristen H Bae, DDS – General Practice Dentistry

Key facts

NPI: 1437368339
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
Practice address: 5103 Westfields Blvd
Centreville, VA 20120
Phone: (703) 802-8999
Fax: (703) 802-4704
NPI assigned: May 21, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Dulles Dental Group LLC General Practice Dentistry · Centreville, VA · NPI 1649486747

NPD (past) GENERAL PRACTICE
Intergrity Dental Inc. Dentist · Centreville, VA · NPI 1619355385

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
G401410228	VA	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Dulles Dental Group LLC	General Practice	Past	Accepting new patients
Intergrity Dental Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X		VA	Yes

Addresses

Primary practice location

5103 Westfields Blvd
Centreville, VA 20120

Mailing address

2945 Oakton Knoll CT
Oakton, VA 22124
Phone (703) 242-0356

Other providers in Centreville, VA

All providers in Centreville, VA · General Practice Dentistry in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.

Verify at the official NPI Registry.