MEDICARE: GRACE HAHN SAVAGE DDS

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
1	122300000X	Dentist	7281	NC

General Provider Information

NPI Number	:	1982765996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE HAHN SAVAGE DDS

Provider Business Mailing Address
First Line	:	2118 LA GORCE DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-6305
Country	:	US
Telephone Number	:	704-301-7462
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 SELWYN AVE
Second Line	:	SUITE 280
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-1785
Country	:	US
Telephone Number	:	980-219-7078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	10/22/2012

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