Provider Demographics
NPI:1922151299
Name:HO, NHAN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:NHAN
Middle Name:K
Last Name:HO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:NY
Mailing Address - Zip Code:13142-2561
Mailing Address - Country:US
Mailing Address - Phone:315-298-3437
Mailing Address - Fax:315-298-7274
Practice Address - Street 1:3333 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:NY
Practice Address - Zip Code:13142-2561
Practice Address - Country:US
Practice Address - Phone:315-298-3437
Practice Address - Fax:315-298-7274
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05218-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist