Michelle S. Ahn DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHELLE S. AHN DDS INC

Doing business as

Floss Life Dental

Practice address

12022 Inglewood Ave
Hawthorne, CA 90250-3548

Phone

(424) 675-4480

Fax

(424) 675-4482

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Valerie A Acosta

Title

Office Manager

Phone

(310) 376-2460

Specialties & licenses 1

Addresses

Other names 1

• Floss Life Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Soojung Ahn, DDS, MSD

  • Prosthodontics
  • Redondo Beach, CA
  • NPI 1043504954

  General Practice

  NPD

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736553600000",
    "number": "1982435889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12022 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503548",
            "telephone_number": "424-675-4480",
            "fax_number": "424-675-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12022 INGLEWOOD AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503548",
            "telephone_number": "424-675-4480",
            "fax_number": "424-675-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE S. AHN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-376-2460"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floss Life Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francesca Mephors, FNP
• Mercy Airlift
• Mikael Merencio
• Meridian Holdings, Inc (Meridian Health Systems ACO)
• Zenobia Jean Merritt
• Christina Magdi Mikhail, DDS
• Molly Maureen Ming, PT, DPT
• Minh Phuong DO, D.M.D. Inc. (DO Dental)
• Michael Mirliss
• Sabreana Mitchell

• General Practice Dentistry in Hawthorne, CA
• Providers in Hawthorne, 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 Jan 11, 2025; 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.