Provider Demographics
NPI:1598817546
Name:BAIK, JAMES YONG-HYUN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YONG-HYUN
Last Name:BAIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:YONG-HYUN
Other - Last Name:BAIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:235 TOWN CENTER PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-5811
Mailing Address - Country:US
Mailing Address - Phone:619-449-8622
Mailing Address - Fax:619-449-8649
Practice Address - Street 1:235 TOWN CENTER PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-5811
Practice Address - Country:US
Practice Address - Phone:619-449-8622
Practice Address - Fax:619-449-8649
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY440311223G0001X
NJ182691223G0001X
CA643721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice