MEDICARE: DR. BINNAH HWANG DMD

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	DS045330	PA
2	1223G0001X	General Practice Dentistry	22DI03035100	NJ

General Provider Information

NPI Number	:	1558102947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BINNAH HWANG DMD

Provider Business Mailing Address
First Line	:	981 N WALES RD STE 7
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1422
Country	:	US
Telephone Number	:	215-362-4720
Fax Number	:

Provider Business Practice Location Address
First Line	:	981 N WALES RD STE 7
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-1422
Country	:	US
Telephone Number	:	215-362-4720
Fax Number	:

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

Provider Enumeration Date	:	06/01/2024
Last Update Date	:	03/02/2026

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