Active NPIIndividual providerSole proprietor

Dr. Nicholas Ahn, DMD

Dentist, General Practice in North Bend, Oregon

NPI Number1912510678
Practice location
2070 Virginia Ave, North Bend, OR 97459-2351
Fax
—
Last updated
November 8, 2023

Nicholas Ahn is a Dentist, General Practice based in North Bend, OR. Nicholas Ahn practices in North Bend, OR and has the professional credentials of DMD. The NPI Number for Nicholas Ahn is 1912510678 and holds a License No. D010848 (AZ). The current practice location address for Nicholas Ahn is 2070 Virginia Ave, North Bend, OR 97459-2351 and can be reached out via phone at 541-756-7568.

Provider Profile Details

NPI Number
1912510678
Provider Name
Nicholas Ahn
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2070 Virginia Ave, North Bend, OR 97459-2351
Phone Number
541-756-7568
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2020
Last Update Date
November 8, 2023
Certification Date
November 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2070 Virginia Ave
North Bend, OR 97459-2351
State
Oregon
Zip
97459-2351
Phone Number
541-756-7568
North Bend, OR 97459Get directions →

Provider Business Mailing Address Details

Address
1550 E Campbell Ave Apt 3028
Phoenix, AZ 85014-4271
City
Phoenix
State
AZ
Zip
85014-4271

License Information

License Number (1)
D010848
License State (1)
AZ
Taxonomy (1)
Dentist · 122300000X
License Number (2)
D11651
License State (2)
OR
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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 Dr. Nicholas Ahn, DMD?

The NPI number of Dr. Nicholas Ahn, DMD is 1912510678. It was assigned on August 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas Ahn, DMD?

Dr. Nicholas Ahn, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in AZ under license number D010848.

Where does Dr. Nicholas Ahn, DMD practice?

The practice location is 2070 Virginia Ave, North Bend, OR 97459-2351. The office can be reached at 541-756-7568 (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 1912510678 directly on the NPPES registry website.

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