MEDICARE: HANNAH OH 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	1223G0001X	General Practice Dentistry	DS044770	PA

General Provider Information

NPI Number	:	1508433616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH OH DDS

Provider Business Mailing Address
First Line	:	2900 ISLAND AVE STE 2924
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-2028
Country	:	US
Telephone Number	:	714-343-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 ISLAND AVE STE 2924
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-2028
Country	:	US
Telephone Number	:	714-343-8282
Fax Number	:

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

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	01/12/2026

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