Henry D Ahn, D.M.D

Individual provider Active NPI General Practice Dentistry · Aurora, CO

NPI 1790761690 · NPPES record last updated Jul 27, 2021

Key facts

NPI
1790761690
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
9718 (CO)
Practice address
11275 E Mississippi Ave Ste 2N
Aurora, CO 80012-3263
Phone
(303) 750-3737
Fax
(303) 751-2285
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9718COMDGeneral Practice Dentistry
DS035875PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Henry D. Ahn DMD PC General Practice Current
since Aug 8, 2021
Accepting new patients

Locations

11275 E Mississippi Ave
Ste 2N
Aurora, CO 80012
Phone (303) 341-4878

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS035875 PA
General Practice Dentistry 1223G0001X 9718 CO Yes

Addresses

Primary practice location

11275 E Mississippi Ave Ste 2N
Aurora, CO 80012-3263

Mailing address

2502 S Bahama Cir
Unit a
Aurora, CO 80013-6503
Phone (661) 578-8169

Other providers in Aurora, CO

All providers in Aurora, CO · General Practice Dentistry in Colorado

Sources for this page

Verify at the official NPI Registry.