Michael Han Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102083 Issued in CA

Legal business name

MICHAEL HAN DENTAL CORP.

Doing business as

Harbor Implant and Cosmetic Dentistry

Practice address

1460 N Harbor Blvd Ste 120
Fullerton, CA 92835-4158

Phone

(714) 773-9999

Fax

(714) 773-9997

NPI assigned

Feb 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Barron Han, DDS

Title

Owner

Phone

(714) 773-9999

Specialties & licenses 1

Addresses

Other names 1

• Harbor Implant and Cosmetic Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1225539687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N HARBOR BLVD STE 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354158",
            "telephone_number": "714-773-9999",
            "fax_number": "714-773-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N HARBOR BLVD STE 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354158",
            "telephone_number": "714-773-9999",
            "fax_number": "714-773-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL HAN DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-773-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Implant and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayra Meza
• Olivia Meza
• Mia Concepcion, DDS, Inc.
• Yeeshun F Miao, M.D.
• Michael a Kropf M D a Professional Corporation
• Michael M Hovsepian MD a Professional Medical Corporation
• Michael Q Ngo (Family Dentistry)
• Kelli Micheau
• Abby Taylor Michel, APCC, P-RDT
• Andrea Nicolle Michel

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.