Provider Demographics
NPI:1073723763
Name:HAHN, STEPHEN PAUL (DDS)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:PAUL
Last Name:HAHN
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 1:7455 N FRESNO ST
Mailing Address - Street 2:SUITE #201
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2480
Mailing Address - Country:US
Mailing Address - Phone:559-256-2627
Mailing Address - Fax:559-226-2629
Practice Address - Street 1:7455 N FRESNO ST
Practice Address - Street 2:SUITE #201
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2480
Practice Address - Country:US
Practice Address - Phone:559-256-2627
Practice Address - Fax:559-226-2629
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA400771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice