Provider Demographics
NPI:1609817790
Name:HAHN, GLENN EMIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:EMIL
Last Name:HAHN
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1235 WEST STATE ST
Mailing Address - Street 2:DR GLENN E HAHN DDS
Mailing Address - City:HASTINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49058-9712
Mailing Address - Country:US
Mailing Address - Phone:269-948-8029
Mailing Address - Fax:269-948-8020
Practice Address - Street 1:1235 WEST STATE ST
Practice Address - Street 2:DR GLENN E HAHN DDS
Practice Address - City:HASTINGS
Practice Address - State:MI
Practice Address - Zip Code:49058-9712
Practice Address - Country:US
Practice Address - Phone:269-948-8029
Practice Address - Fax:269-948-8020
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI102901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice