Provider Demographics
NPI:1467515049
Name:KOYMEN, HAKAN OMER (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:HAKAN
Middle Name:OMER
Last Name:KOYMEN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 HONEYGO CENTER DR
Mailing Address - Street 2:SUITE 228
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9828
Mailing Address - Country:US
Mailing Address - Phone:410-248-3384
Mailing Address - Fax:410-248-3385
Practice Address - Street 1:5009 HONEYGO CENTER DR
Practice Address - Street 2:SUITE 228
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9828
Practice Address - Country:US
Practice Address - Phone:410-248-3384
Practice Address - Fax:410-248-3385
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD127701223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD026120300Medicaid