Jun Tae Bae, DDS, PA
Jun Tae Bae, DDS, PA is a healthcare organization registered as General Practice Dentistry in Laurel, MD, holding Type 2 (organization) NPI 1588954366 since 2011. The authorized official on file is Jun Bae, Doctor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588954366 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jun Tae Bae, DDS, PA |
| Other name | <Unavail> |
| Practice address | 13974 BALTIMORE AVE, Laurel, MD, 20707 |
| Phone | 3014908200 |
| Fax | 3014904300 |
| Enumeration date | 2011-04-13 |
| Last updated in NPPES | 2011-04-13 |
Authorized official
| Name | Jun Bae |
|---|---|
| Title | Doctor |
| Phone | 3014908200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 11589 | MD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013172500 | Medicaid | MD | — |
Copy-ready billing details
Provider: Jun Tae Bae, DDS, PA NPI: 1588954366 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 13974 BALTIMORE AVE, Laurel, MD, 20707
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013952068 | Jun Bae | Individual | General Practice Dentistry | Laurel, MD |
Verify this record
Cross-check NPI 1588954366 against the authoritative CMS record: view Jun Tae Bae, DDS, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jun Tae Bae, DDS, PA?
Who is the authorized official for Jun Tae Bae, DDS, PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-04-13.