Provider Demographics
NPI:1912331695
Name:OH, HANUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANUL
Middle Name:
Last Name:OH
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 1:11 S. MILL STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16102
Mailing Address - Country:US
Mailing Address - Phone:724-698-2132
Mailing Address - Fax:
Practice Address - Street 1:5855 LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-4336
Practice Address - Country:US
Practice Address - Phone:419-481-9760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024386122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist