NPI 1912510678 · live from the CMS NPI Registry
Nicholas Ahn, DMD
Dentist, General Practice in North Bend, OR. National Provider Identifier 1912510678, active.
NPI record
| NPI | 1912510678 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2070 Virginia Ave, North Bend, OR 97459 |
| Practice phone | 541-756-7568 |
| Mailing address | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014 |
| Enumerated | August 24, 2020 |
| Last updated | November 8, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | D010848 (AZ) |
| Dentist, General Practice primary | 1223G0001X | D11651 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.