Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194946335 Individual Practitioner Male Practitioner

Dr. Peter S Bae , DDS

Dentist - General Practice • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Bae, DDS is a registered healthcare professional specializing in Dentist - General Practice in Walla Walla, WA. Practice services are available at 217 S 2ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

217 S 2nd Ave

Walla Walla, WA 993623002

Telephone 5095257250
Fax 5095265295
Associated Practice Facility / Clinic
🏢 Nannette Goyer Dds Pllc Facility NPI 1902071525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Walla Walla, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Walla Walla, WA (3345 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

CMS Verified: 2025-09-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 40206

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

State License WA 40206

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Richard Buck , DMD

Dentist - General Practice

NPI 1316922164

Doctor of Dental Medicine

Dr. Douglas Coe , DMD

Dentist - General Practice

NPI 1356422117

Doctor of Dental Medicine

Nannette Goyer

Dentist - General Practice

NPI 1811918154
NPI 1881961779

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 16, 2025

Registered at 217 S 2ND AVE, WALLA WALLA, WA 993623002 (Tel: 5095257250)

📍
Updated Business Mailing Address September 16, 2025

Registered at 217 S 2ND AVE, WALLA WALLA, WA 993623002 (Tel: 5095257250)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2025

Dentist (License #40206 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1405 COMMERCIAL WAY, SUITE NUMBER 140, BAKERSFIELD, CA 93309 (Tel: 6613289993)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1405 COMMERCIAL WAY, SUITE NUMBER 140, BAKERSFIELD, CA 93309 (Tel: 6613289993)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER BAE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #40206 in CA)

🟢
Initial NPI Registration & Enumeration May 02, 2007

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: 1194946335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

217 S 2nd Ave

Walla Walla, WA 993623002

Phone: 5095257250

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.