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FAMILY DENTISTRY OF LAUREL
NPI 1588954366
Dentist - General Practice in Laurel, MD

Active since April 13, 2011
13974 BALTIMORE AVE, LAUREL, MD 20707(301) 490-8200(301) 490-4300 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Dentistry Of Laurel NPPES

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

FAMILY DENTISTRY OF LAUREL (NPI 1588954366) is a healthcare organization registered as a general practice in Laurel, Maryland and active in the NPI registry since April 2011. The organization lists Jun Tae Bae, Doctor, as its authorized official.

NPPES Registry Identity

NPI1588954366
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJUN TAE BAE, DDS, PA
Location Address13974 BALTIMORE AVELaurel, MD 20707-5086
Mailing Address13974 Baltimore AveLaurel, MD 20707-5086 · (301) 490-8200 · Fax (301) 490-4300
Phone(301) 490-8200
Fax(301) 490-4300
Organization SubpartNo
Authorized OfficialJun Tae BaeDoctor · (301) 490-8200
Enumeration DateApril 13, 2011
✔ NPI 1588954366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 11589
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.
13974 BALTIMORE AVE, Laurel, MD 20707
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Other Names 1

Doing Business AsFamily Dentistry Of Laurel

Other Identifiers 1

Medicaid013172500MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JUN TAE BAE D.D.S.
Dentist (General Practice)
13974 BALTIMORE AVE
LAUREL, MD 20707
Prince George's County (301) 490-8200

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 Jun Tae Bae, Dds, PA's NPI number?

The NPI number for Jun Tae Bae, Dds, PA is 1588954366. It was assigned to this organization in the NPPES registry on April 13, 2011. The provider is doing business as Family Dentistry Of Laurel.

Where is Jun Tae Bae, Dds, PA located?

Jun Tae Bae, Dds, PA is located at 13974 Baltimore Ave, Laurel, MD 20707. The listed phone number is (301) 490-8200.

What is Jun Tae Bae, Dds, PA'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 Jun Tae Bae, Dds, PA was last updated on April 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.