Provider Demographics
NPI:1346368495
Name:DENNIS J. HAHN DDS. PS
Entity Type:Organization
Organization Name:DENNIS J. HAHN DDS. PS
Other - Org Name:MARINE HILLS DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-839-2800
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:98003-3753
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:98003-3753
Practice Address - Country:US
Practice Address - Phone:253-839-2800
Practice Address - Fax:253-839-2671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA94651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1275671646OtherINDIVIDUAL NPI #
WA9465OtherSTATE ID
WA0181541OtherL & I
WA0181541OtherL & I