SANG BAE DDS
NPI 1104147016
Dentist - General Practice in Bothell, WA

Q: What is Sang Bae's NPI number?

The NPI number for Sang Bae is 1104147016. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Q: What is Sang Bae's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Sang Bae was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2010

1729 208TH ST SE, #101, BOTHELL, WA 98012(425) 485-8885 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sang Bae Dds NPPES

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

SANG BAE DDS (NPI 1104147016) is an individual general practice provider in Bothell, Washington, licensed in Washington (DE 60056965) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1104147016

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSANG BAECredential: DDS

Location Address1729 208TH ST SE, #101Bothell, WA 98012-7789

Mailing Address13426 64th Ave WEdmonds, WA 98026-3246

Phone(425) 485-8885

Sole ProprietorNo

Enumeration DateJune 15, 2010

✔ NPI 1104147016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE 60056965

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1729 208TH ST SE, Bothell, WA 98012

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Other Providers at the Same Location NPPES

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

DR. GARY ELDEN HEYAMOTO DDS

Dentist (General Practice)

1729 208TH ST SE, #101
BOTHELL, WA 98012

Snohomish County (425) 485-8885

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 Sang Bae's NPI number?

The NPI number for Sang Bae is 1104147016. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Sang Bae located?

Sang Bae practices at 1729 208th St SE #101, Bothell, WA 98012. The listed phone number is (425) 485-8885.

What is Sang Bae's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Sang Bae was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.