Active NPIIndividual providerSole proprietor

Bryan B Ahn

Dentist in Lancaster, California

NPI Number1679146823
Practice location
1025 W Avenue K Ste 105, Lancaster, CA 93534-6429
Fax
—
Last updated
July 9, 2025

Bryan Boungjun Ahn is a Dentist based in Lancaster, CA. Bryan Boungjun Ahn practices in Lancaster, CA. The NPI Number for Bryan Boungjun Ahn is 1679146823 and holds a License No. 13221 (CT). The current practice location address for Bryan Boungjun Ahn is 1025 W Avenue K Ste 105, Lancaster, CA 93534-6429 and can be reached out via phone at 661-723-1111.

Provider Profile Details

NPI Number
1679146823
Provider Name
Bryan Boungjun Ahn
Provider Entity Type
Individual
Gender
Male
Address
1025 W Avenue K Ste 105, Lancaster, CA 93534-6429
Phone Number
661-723-1111
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 23, 2021
Last Update Date
July 9, 2025
Certification Date
July 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1025 W Avenue K Ste 105
Lancaster, CA 93534-6429
Zip
93534-6429
Phone Number
661-723-1111
Lancaster, CA 93534Get directions →

Provider Business Mailing Address Details

Address
15 Sagamore Ln Unit 309
Rocky Hill, CT 06067-3850
City
Rocky Hill
State
CT
Zip
06067-3850
Phone Number
857-769-8969

License Information

License Number (1)
13221
License State (1)
CT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
111424
License State (2)
CA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bryan B Ahn?

The NPI number of Bryan B Ahn is 1679146823. It was assigned on July 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Bryan B Ahn?

Bryan B Ahn is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 13221.

Where does Bryan B Ahn practice?

The practice location is 1025 W Avenue K Ste 105, Lancaster, CA 93534-6429. The office can be reached at 661-723-1111 (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 1679146823 directly on the NPPES registry website.

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