Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124381629 Individual Practitioner Male Practitioner

Dr. Sam Seoho Bae , MD, DDS

Oral & Maxillofacial Surgery • Tualatin, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sam Bae, MD, DDS is a registered healthcare professional specializing in Oral & Maxillofacial Surgery in Tualatin, OR. Practice services are available at 6464 SW BORLAND RD STE D3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6464 Sw Borland Rd Ste D3

Tualatin, OR 97062

Telephone 5036925654
Associated Practice Facility / Clinic
🏢 Daniel Petrisor Dmd Md Llc Facility NPI 1194280685

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Tualatin, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Tualatin, OR (28 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License OR MD191912

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License TX 33845

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License MI 2901020742

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License TX R6146

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License MI 4301109828

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. David Tenhulzen , MD DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1194896548

MDDMD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 29, 2019

Registered at 6464 SW BORLAND RD STE D3, TUALATIN, OR 97062 (Tel: 5036925654)

📍
Updated Business Mailing Address June 29, 2019

Registered at 6464 SW BORLAND RD STE D3, TUALATIN, OR 970628861 (Tel: 5036925654)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2019

Oral & Maxillofacial Surgery (License #33845 in TX)

📍
Updated Practice Location June 09, 2018

Registered at 601 SUNLAND PARK DR STE 2, EL PASO, TX 79912 (Tel: 9158332969)

📍
Updated Business Mailing Address June 09, 2018

Registered at 601 SUNLAND PARK DR STE 2, EL PASO, TX 799125229 (Tel: 9158332969)

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2016

Registered at 1500 E MEDICAL CENTER DR, 2207 TC, SPC 5342, ANN ARBOR, MI 481095000 (Tel: 7349365733)

📍
Updated Business Mailing Address May 23, 2016

Registered at 1500 E MEDICAL CENTER DR, 2207 TC, SPC 5342, ANN ARBOR, MI 481095000 (Tel: 7349365733)

👤
Provider Name / Credentials Updated May 23, 2016

Recorded as SAM BAE, M.D., D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Oral & Maxillofacial Surgery (License #4301109828 in MI)

🟢
Initial NPI Registration & Enumeration June 19, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124381629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2012
Last Update: June 29, 2019
Sole Proprietor: Yes

Mailing Address

6464 Sw Borland Rd Ste D3

Tualatin, OR 970628861

Phone: 5036925654

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.