DR. EUNJOO BAE DDS
NPI 1104125202
Dentist in Duluth, GA

Active since March 15, 2011PECOS Enrolled
3840 PEACHTREE INDUSTRIAL BLVD, SUITE 320, DULUTH, GA 30096(770) 670-6555 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eunjoo Bae Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EUNJOO BAE DDS (NPI 1104125202) is an individual dentist in Duluth, Georgia, licensed in Georgia (DN014224) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104125202
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. EUNJOO BAECredential: DDS
Location Address3840 PEACHTREE INDUSTRIAL BLVD, SUITE 320Duluth, GA 30096-5031
Mailing Address3120 Oak Hampton WayDuluth, GA 30096-5856
Sole ProprietorNo
Enumeration DateMarch 15, 2011
NPI 1104125202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DN014224
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3840 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30096

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Eunjoo Bae Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3840 PEACHTREE INDUSTRIAL BLVD, SUITE 210
DULUTH, GA 30096
Clinic/Center (Adult Day Care)
3840 PEACHTREE INDUSTRIAL BLVD, SUITE 120
DULUTH, GA 30096
Physiological Laboratory
3840 PEACHTREE INDUSTRIAL BLVD, SUITE 110
DULUTH, GA 30096
Dentist (General Practice)
3840 PEACHTREE INDUSTRIAL BLVD, 320
DULUTH, GA 30096
Podiatrist (Foot & Ankle Surgery)
3840 PEACHTREE INDUSTRIAL BLVD, SUITE 200
DULUTH, GA 30096
Chiropractor
3840 PEACHTREE INDUSTRIAL BLVD, SUITE 210
DULUTH, GA 30096
Physical Therapist (Orthopedic)
3840 PEACHTREE INDUSTRIAL BLVD, STE 120
DULUTH, GA 30096
Clinic/Center
3840 PEACHTREE INDUSTRIAL BLVD, 275
DULUTH, GA 30096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eunjoo Bae's NPI number?

The NPI number for Eunjoo Bae is 1104125202. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Eunjoo Bae located?

Eunjoo Bae practices at 3840 Peachtree Industrial Blvd Suite 320, Duluth, GA 30096. The listed phone number is (770) 670-6555.

What is Eunjoo Bae's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Eunjoo Bae enrolled in Medicare?

Yes. Eunjoo Bae is registered in the Medicare PECOS enrollment system.

What insurance does Eunjoo Bae accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 9 other insurers list Eunjoo Bae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eunjoo Bae was last updated on March 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.