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NPI Code Detail

MEDICARE: JIHUN HAN D.D.S.

MEDICARE:   JIHUN  HAN  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist010785CT

General Provider Information

NPI Number : 1740544022
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIHUN HAN D.D.S.
Provider Business Mailing Address
First Line : 162 SOUTH ST
Second Line :
City : BRISTOL
State : CT
Zip : 06010-6505
Country : US
Telephone Number : 201-314-7211
Fax Number : 860-973-4036
Provider Business Practice Location Address
First Line : 162 SOUTH ST
Second Line :
City : BRISTOL
State : CT
Zip : 06010-6505
Country : US
Telephone Number : 860-973-4035
Fax Number : 860-973-4036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2012
Last Update Date : 04/07/2026

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Directions to “ JIHUN HAN D.D.S.” Practice Location

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