Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAM SEOHO BAE, M.D., D.D.S.
Active Sole ProprietorSAM SEOHO BAE, M.D., D.D.S. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in TUALATIN, Oregon. NPI 1124381629 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · TUALATIN, OR
Registration Details
- NPI Number
- 1124381629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2012 (14.179497257316 yrs)
- Last Updated
- Jun 29, 2019
- Licenses
-
33845 (TX)2901020742 (MI)R6146 (TX)4301109828 (MI)MD191912 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6464 SW BORLAND RD STE D3TUALATIN, OR, 97062Browse OR providers · Browse ZIP 97062
- Phone
- 5036925654
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.