Provider Demographics
NPI:1922455641
Name:CHU, YONG HAN (DDS, PHD, MPH)
Entity Type:Individual
Prefix:DR
First Name:YONG
Middle Name:HAN
Last Name:CHU
Suffix:
Gender:M
Credentials:DDS, PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8763 APPLESEED DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1775
Mailing Address - Country:US
Mailing Address - Phone:513-262-1265
Mailing Address - Fax:
Practice Address - Street 1:4104 BROADWAY STE D
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3065
Practice Address - Country:US
Practice Address - Phone:614-871-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0247531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice