- Practice location
- Bldg 38801 Academic Dr, Ste B&c, Suite B & C, Ft Gordon, GA 30905-5660
- Phone
- 706-787-7050
- Fax
- —
- Last updated
- June 27, 2023
Han Eol Eom is a Dentist, Prosthodontics based in Ft Gordon, GA. Han Eol Eom practices in Ft Gordon, GA and has the professional credentials of DDS. The NPI Number for Han Eol Eom is 1649750142 and holds a License No. 0401416179 (VA). The current practice location address for Han Eol Eom is Bldg 38801 Academic Dr, Ste B&c, Suite B & C, Ft Gordon, GA 30905-5660 and can be reached out via phone at 706-787-7050.
Provider Profile Details
- NPI Number
- 1649750142
- Provider Name
- Han Eol Eom
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Bldg 38801 Academic Dr, Ste B&c, Suite B & C, Ft Gordon, GA 30905-5660
- Phone Number
- 706-787-7050
- Primary Taxonomy
- Dentist, Prosthodontics · 1223P0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2018
- Last Update Date
- June 27, 2023
- Certification Date
- June 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Bldg 38801 Academic Dr, Ste B&c
Suite B & C
Ft Gordon, GA 30905-5660 - City
- Ft Gordon
- State
- Georgia
- Zip
- 30905-5660
- Phone Number
- 706-787-7050
Provider Business Mailing Address Details
- Address
- Cmr 415 Box 5367
Apo, AE 09114-0054 - City
- Apo
- State
- AE
- Zip
- 09114-0054
License Information
- License Number (1)
- 0401416179
- License State (1)
- VA
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 0401416179
- License State (2)
- VA
- Taxonomy (2)
- Dentist, Prosthodontics · 1223P0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Prosthodontics providers near Ft Gordon, GA
View all Dentist, Prosthodontics providers in Ft Gordon →Frequently Asked Questions
What is the NPI number of Dr. Han Eol Eom, DDS?
The NPI number of Dr. Han Eol Eom, DDS is 1649750142. It was assigned on August 15, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Han Eol Eom, DDS?
Dr. Han Eol Eom, DDS is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in VA under license number 0401416179.
Where does Dr. Han Eol Eom, DDS practice?
The practice location is Bldg 38801 Academic Dr, Ste B&c, Suite B & C, Ft Gordon, GA 30905-5660. The office can be reached at 706-787-7050 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649750142 directly on the NPPES registry website.