Jae Hyon Ham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN013040 Issued in GA

Practice address

2860 Peachtree Industrial Blvd Ste 800
Duluth, GA 30097-7905

Phone

(770) 796-7448

Fax

(770) 796-7471

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Absa7 Inc

  • Dental Clinic/Center
  • Duluth, GA
  • NPI 1174362990
  NPD Authorized official
• New Image Dental Group

  • Dental Clinic/Center
  • Bogart, GA
  • NPI 1194996736
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1508843715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 PEACHTREE INDUSTRIAL BLVD STE 800",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977905",
            "telephone_number": "770-796-7448",
            "fax_number": "770-796-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 PEACHTREE INDUSTRIAL BLVD STE 800",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977905",
            "telephone_number": "770-796-7448",
            "fax_number": "770-796-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "JAE",
        "middle_name": "HYON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary G Hales, M.A.,L.C.A.S,. L.P.C
• Glenn M Hall Jr., MD
• Maria Mercedes Hall, FNP-C
• Micheal A Hall, M.D.
• John Dakota Hallum
• Jennifer Dreibelbis Hama, LPC, CPCS
• Rachel Hammoudeh, O.D.
• Han Corporation
• Young Ae Han, D.C.
• Hand to Shoulder Therapy Specialists of Duluth

• Dentist in Duluth, GA
• Providers in Duluth, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.