Active NPIIndividual providerSole proprietor

Dr. Shin S Ahn, DMD

Dentist, General Practice in San Diego, California

NPI Number1790878437
Practice location
7612 Linda Vista Road, Suite 112, San Diego, CA 92111
Fax
858-292-0837
Last updated
January 13, 2017

Dr. Shin S Ahn, DMD is a Dentist, General Practice based in San Diego, CA. Dr. Shin S Ahn, DMD holds the professional credentials of DMD. The NPI number for Dr. Shin S Ahn, DMD is 1790878437 and holds license No. 201730293 (CA). The current practice location address is 7612 Linda Vista Road, Suite 112, San Diego, CA 92111 and the office can be reached by phone at 858-279-0888 and by fax at 858-292-0837. The NPI was assigned on October 2, 2006 and the record was last updated in NPPES on January 13, 2017.

●Provider Profile Details

NPI Number
1790878437
Provider Name
Shin Suk Ahn
Credential
DMD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Enumeration Date
October 2, 2006
Last Update Date
January 13, 2017
NPI Status
Active

◉Business Practice Location Address

Address
7612 Linda Vista Road
Suite 112
San Diego, CA 92111
ZIP
92111
Country
US
Phone Number
858-279-0888
Fax Number
858-292-0837

Get directions →

✉Business Mailing Address

Address
7612 Linda Vista Road
Suite 112
San Diego, CA 92111
City
San Diego
State
CA
ZIP
92111
Phone Number
858-279-0888
Fax Number
858-292-0837

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist, General Practice1223G0001XYes201730293CA

#Other Provider Identifiers

No legacy or other 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 Dr. Shin S Ahn, DMD?

The NPI number of Dr. Shin S Ahn, DMD is 1790878437. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Shin S Ahn, DMD?

Dr. Shin S Ahn, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. 201730293 (CA).

Where does Dr. Shin S Ahn, DMD practice?

The practice location is 7612 Linda Vista Road, Suite 112, San Diego, CA 92111. The office can be reached at 858-279-0888 (phone) or 858-292-0837 (fax).

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 1790878437 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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