IndividualActive
Sejin Bae
NPI 1528697109 · Oral & Maxillofacial Surgery (D.M.D.) · Danville, PA
Provider details
- NPI number
- 1528697109
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI03014100 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 North Academy Avenue
Danville, PA 17822
Phone: (570) 271-6211
Approximate (ZIP-level) locationGet directions
Mailing address
9550 W Sahara Ave Unit 2063
Las Vegas, NV 89117
Registry dates
- Enumerated
- 2020-04-06
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.