Provider Demographics
NPI:1073670634
Name:HWI HAHN D.D.S., INC.
Entity Type:Organization
Organization Name:HWI HAHN D.D.S., INC.
Other - Org Name:SKY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:HWI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-483-0102
Mailing Address - Street 1:2689A SAVIERS RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-4519
Mailing Address - Country:US
Mailing Address - Phone:805-483-0102
Mailing Address - Fax:805-483-0042
Practice Address - Street 1:2689A SAVIERS RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-4519
Practice Address - Country:US
Practice Address - Phone:805-483-0102
Practice Address - Fax:805-483-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB444061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty