Provider Demographics
NPI:1003256314
Name:HAN, SANG HOON JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SANG HOON
Middle Name:JOHN
Last Name:HAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 CRANBERRY HWY
Mailing Address - Street 2:UNIT A
Mailing Address - City:EAST WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02538-4810
Mailing Address - Country:US
Mailing Address - Phone:508-743-7888
Mailing Address - Fax:888-594-4555
Practice Address - Street 1:3112 CRANBERRY HWY
Practice Address - Street 2:UNIT A
Practice Address - City:EAST WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02538-4810
Practice Address - Country:US
Practice Address - Phone:508-743-7888
Practice Address - Fax:888-594-4555
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA625221223G0001X
MADN1857093122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice