Provider Demographics
NPI:1760854046
Name:MICHAEL S HAN DDS PC
Entity Type:Organization
Organization Name:MICHAEL S HAN DDS PC
Other - Org Name:ASHBURN FAMILY AND COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-723-9909
Mailing Address - Street 1:20905 PROFESSIONAL PLZ
Mailing Address - Street 2:STE. 210
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7783
Mailing Address - Country:US
Mailing Address - Phone:703-723-9909
Mailing Address - Fax:703-723-3444
Practice Address - Street 1:20905 PROFESSIONAL PLZ
Practice Address - Street 2:STE. 210
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7783
Practice Address - Country:US
Practice Address - Phone:703-723-9909
Practice Address - Fax:703-723-3444
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POTOMAC VALLEY DENTAL CARE, PLLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty