Provider Demographics
NPI:1689738890
Name:BAIK, CHONG YOL (DDS)
Entity Type:Individual
Prefix:
First Name:CHONG YOL
Middle Name:
Last Name:BAIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:BAIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:43 YAWPO AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436
Mailing Address - Country:US
Mailing Address - Phone:201-405-0011
Mailing Address - Fax:201-405-1611
Practice Address - Street 1:43 YAWPO AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436
Practice Address - Country:US
Practice Address - Phone:201-405-0011
Practice Address - Fax:201-405-1611
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021909001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics