Provider Demographics
NPI:1265634273
Name:FISCHER HAHM, YOUNGCHOON JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:YOUNGCHOON
Middle Name:JOSEPH
Last Name:FISCHER HAHM
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:YOUNGCHOON
Other - Middle Name:FISCHER
Other - Last Name:HAHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:5016 COSTA UASCA DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-5790
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1316 JACKIE RD SE STE 200
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1045
Practice Address - Country:US
Practice Address - Phone:505-994-9693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD4940122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist