MEDICARE: KIM N BAKKE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	28901	CA

General Provider Information

NPI Number	:	1093787525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIM N BAKKE DDS

Provider Business Mailing Address
First Line	:	751 S BASCOM AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2604
Country	:	US
Telephone Number	:	408-885-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 TULLY RD
Second Line	:	DENTAL CLINIC
City	:	SAN JOSE
State	:	CA
Zip	:	95111-1917
Country	:	US
Telephone Number	:	408-817-1465
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1376538991 — COUNTY OF SANTA CLARA
Practice Location Address:

500 TULLY RD
SAN JOSE, CA
95111-1917

Practice Phone: 408-885-5000
Practice Fax:

1033184635 — RICHARD T BATTAGLIA DDS
Practice Location Address:

500 TULLY RD , DENTAL CLINIC
SAN JOSE, CA
95111-1917

Practice Phone: 408-885-5000
Practice Fax:

1528037421 — LIEN THIXUAN DANG-PETERSON DDS
Practice Location Address:

500 TULLY RD , DENTAL CLINIC
SAN JOSE, CA
95111-1917

Practice Phone: 408-817-1461
Practice Fax:

1174586655 — WENDY T. HUI M.D.
Practice Location Address:

500 TULLY RD
SAN JOSE, CA
95111-1917

Practice Phone: 888-334-1000
Practice Fax: 408-817-1416

1821051889 — DIANE GARIBALDI MD
Practice Location Address:

500 TULLY RD , CHABOYA CLINIC- PEDIATRICS DEPARTMENT
SAN JOSE, CA
95111-1917

Practice Phone: 408-817-1426
Practice Fax:

Directions to “ KIM N BAKKE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.