Provider Demographics
NPI:1275671646
Name:HAHN, JEONG-KU (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEONG-KU
Middle Name:
Last Name:HAHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DENNIS
Other - Middle Name:J
Other - Last Name:HAHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1500 S DASH POINT RD
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-3758
Mailing Address - Country:US
Mailing Address - Phone:253-839-2800
Mailing Address - Fax:253-839-2671
Practice Address - Street 1:1500 S DASH POINT RD
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-3758
Practice Address - Country:US
Practice Address - Phone:253-839-2800
Practice Address - Fax:253-839-2671
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00009465122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0181541OtherL & I