Jun Tae Bae, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11589 Issued in MD

Legal business name

JUN TAE BAE, DDS, LLC

Doing business as

Family Dentistry of Gaithersburg

Practice address

501 N Frederick Ave
Suite #109
Gaithersburg, MD 20877-2507

Phone

(301) 527-8664

Fax

(301) 527-9365

NPI assigned

Jun 26, 2009

Last updated

Jun 26, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jun Tae Bae, DDS

Title

General Dentist

Phone

(301) 527-8664

Specialties & licenses 1

Addresses

Other names 1

• Family Dentistry of Gaithersburg Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Chang, D.D.S.

  • Dentist
  • Gaithersburg, MD
  • NPI 1689976805
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1780812800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE",
            "address_2": "SUITE #109",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "301-527-8664",
            "fax_number": "301-527-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE",
            "address_2": "SUITE #109",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "301-527-8664",
            "fax_number": "301-527-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUN TAE BAE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "TAE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "301-527-8664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Gaithersburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ira Vikesh Joshi
• Journey to Wellness Mental Health Services, LLC
• Darvin Joy, PHARM.D.
• Herbert M Juarbe, MD
• Kiera Jubilee
• Jun Y. Lee, D.D.S., P.C.
• Eui Gil Jung, L.AC
• Ji Young Jung
• Carol Kline Juran, PHD
• K a N Healthcare

• General Practice Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.