Provider Demographics
NPI:1356406086
Name:HAHN, SCOTT HENRI' (DMD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:HENRI'
Last Name:HAHN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-1125
Mailing Address - Country:US
Mailing Address - Phone:954-436-7495
Mailing Address - Fax:
Practice Address - Street 1:18650 NW 62 AVE.
Practice Address - Street 2:CDR SCOTT HAHN , NAVY OPERATIONAL SUPPORT CENTER MIAMI
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015
Practice Address - Country:US
Practice Address - Phone:395-628-5150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA102201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice