Healthcare Provider Details

I. General information

NPI: 1245646124
Provider Name (Legal Business Name): HAH NEUL CHOI D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10220 MEDLOCK BRIDGE RD STE 100
JOHNS CREEK GA
30097-2640
US

IV. Provider business mailing address

10220 MEDLOCK BRIDGE RD STE 100
JOHNS CREEK GA
30097-2640
US

V. Phone/Fax

Practice location:
  • Phone: 317-517-5369
  • Fax:
Mailing address:
  • Phone: 317-517-5369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN123364
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: