SE Eun Ahn, DDS
Individual provider Active NPI General Practice Dentistry · Norfolk, VA
NPI 1861003576 · NPPES record last updated Aug 14, 2020
Key facts
- NPI
- 1861003576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 105263 (CA)
- Practice address
- 1647 Admiral Taussig Blvd Ste 241
Norfolk, VA 23511-2803 - Phone
- (757) 953-8635
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105263 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105263 | CA | Yes |
Addresses
Primary practice location
1647 Admiral Taussig Blvd Ste 241
Norfolk, VA 23511-2803
Mailing address
1607 Harmon St Apt 101
Norfolk, VA 23518-4112
Phone (510) 926-1181
Other names
- Dr. Adel Ahn
Other providers in Norfolk, VA
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- Afreen Ahmed
- Nazaakat Ahmed
- Ramzy Ahmed
- Saifuddin Ahmed
- Frank Aiello III
- Aim Counseling LLC
- Aim Homecare, LLC
- Aim Outpatient LLC
- Air Specialty Corp
All providers in Norfolk, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.