Individual provider · Type 1 NPI

Jason Jin Soo Bae, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Sterling, VA

NPI number 1629276522 Active

Practice location

46161 Westlake Dr Ste 200
Sterling, VA 20165-5871

Mailing address

14955 Shady Grove Rd Ste 330
Rockville, MD 20850-8720

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0401414773 (VA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1629276522

Jason Jin Soo Bae, DDS, MD's National Provider Identifier is 1629276522, issued on Jul 3, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sterling, VA. The record was last updated on Aug 16, 2021.