MEDICARE: DR. FRANCIS SANGIK HAN 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
1	1223G0001X	General Practice Dentistry	010600	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942579768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS SANGIK HAN D.D.S.

Provider Business Mailing Address
First Line	:	360 BOSTON AVE STE 17
Second Line	:
City	:	STRATFORD
State	:	CT
Zip	:	06614-5213
Country	:	US
Telephone Number	:	203-375-1388
Fax Number	:

Provider Business Practice Location Address
First Line	:	158 ENGLISH ST UNIT A
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6904
Country	:	US
Telephone Number	:	347-216-5641
Fax Number	:

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

Provider Enumeration Date	:	12/22/2011
Last Update Date	:	06/24/2020

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