Sam Seoho Bae, MD, DDS

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1124381629

Sam Seoho Bae, MD, DDS is an Oral & Maxillofacial Surgery (D.M.D.) in Tualatin, Oregon. Practices as a sole proprietor. Licensed in Michigan, Oregon and Texas.

Licensed in: MI, OR, TX
In the registry since: 2012
Specialties on file: 5

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.
DDS — Doctor of Dental Surgery: A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6464 SW Borland Rd Ste D3
Tualatin, OR 97062
Phone: (503) 692-5654

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary)	Taxonomy 204E00000X · Licence MD191912 (OR)
Oral & Maxillofacial Surgery (D.M.D.)	Taxonomy 204E00000X · Licence 33845 (TX)
Oral & Maxillofacial Surgery (D.M.D.)	Taxonomy 204E00000X · Licence 2901020742 (MI)
Oral & Maxillofacial Surgery (D.M.D.)	Taxonomy 204E00000X · Licence R6146 (TX)
Oral & Maxillofacial Surgery (D.M.D.)	Taxonomy 204E00000X · Licence 4301109828 (MI)

Record details

NPI number	1124381629
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD , DDS
Sole proprietor	Yes
NPI enumerated	June 19, 2012
Last updated in NPPES	June 29, 2019
Mailing address	6464 Sw Borland Rd Ste D3, Tualatin, OR 97062-8861