Healthcare Provider Details

I. General information

NPI: 1366232365
Provider Name (Legal Business Name): EMILY HAHN DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 NORTH OUTER FORTY ROAD SUITE 360
TOWN AND COUNTRY MO
63017-1704
US

IV. Provider business mailing address

13001 NORTH OUTER FORTY ROAD SUITE 360
TOWN AND COUNTRY MO
63017-1704
US

V. Phone/Fax

Practice location:
  • Phone: 314-626-4579
  • Fax: 314-485-4820
Mailing address:
  • Phone: 314-626-4579
  • Fax: 314-485-4820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: EMILY A HAHN
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 314-626-4579