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NPI Code Detail

MEDICARE: STEPHEN PAUL HAHN D.D.S.

MEDICARE: STEPHEN PAUL HAHN 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
11223G0001XGeneral Practice Dentistry40077CA

General Provider Information

NPI Number : 1073723763
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN PAUL HAHN D.D.S.
Provider Business Mailing Address
First Line : 715 MALL RING CIR STE 200
Second Line :
City : HENDERSON
State : NV
Zip : 89014-6667
Country : US
Telephone Number : 702-340-2448
Fax Number : 24-332-2667
Provider Business Practice Location Address
First Line : 715 MALL RING CIR STE 200
Second Line :
City : HENDERSON
State : NV
Zip : 89014-6667
Country : US
Telephone Number : 24-339-2007
Fax Number : 702-433-2266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 06/28/2024

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