Eunjoo Bae, DDS
NPI 1104125202 · Dentist · Duluth, GA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eunjoo Bae, DDS is a Dentist provider in Duluth, GA (NPI 1104125202).
Provider details
- NPI number
- 1104125202
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- DN014224 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2011-03-15
Frequently asked questions
- What is Eunjoo Bae's NPI number?
- Eunjoo Bae's National Provider Identifier (NPI) is 1104125202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Eunjoo Bae's specialty?
- Eunjoo Bae is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Eunjoo Bae located?
- Eunjoo Bae's practice location on file with NPPES is 3840 Peachtree Industrial Blvd, Duluth, GA 30096-5031.
- What is Eunjoo Bae's phone number?
- The practice phone number listed in the NPPES registry for Eunjoo Bae is (770) 670-6555.
- Does Eunjoo Bae accept Medicare?
- Eunjoo Bae is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Eunjoo Bae's NPI active?
- Yes — Eunjoo Bae's NPI (1104125202) is active in the NPPES registry as of the last update on 2011-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.