Provider Demographics
NPI:1598929465
Name:JANG, HAN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAN
Middle Name:J
Last Name:JANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5001 NEWPORT DR
Mailing Address - Street 2:SUITE100
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3801
Mailing Address - Country:US
Mailing Address - Phone:847-749-2212
Mailing Address - Fax:847-749-2137
Practice Address - Street 1:5001 NEWPORT DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3801
Practice Address - Country:US
Practice Address - Phone:847-749-2212
Practice Address - Fax:847-749-2137
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019022656122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist