Provider Demographics
NPI:1649900192
Name:SANG HOON HAN DDS INC.
Entity type:Organization
Organization Name:SANG HOON HAN DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SANG HOON
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-963-6116
Mailing Address - Street 1:40 GILFEATHER LN
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1876
Mailing Address - Country:US
Mailing Address - Phone:909-963-6116
Mailing Address - Fax:
Practice Address - Street 1:34 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1735
Practice Address - Country:US
Practice Address - Phone:508-583-5338
Practice Address - Fax:508-583-1398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental