| Sung M. Ahn, D.d.s., Inc. | |
|
16922 Main St Ste F Hesperia CA 92345-6011 | |
| (760) 244-4844 | |
| (760) 244-5002 |
| Full Name | Sung M. Ahn, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 16922 Main St Ste F, Hesperia, California |
| Authorized Official Name and Position | Sung Min Ahn (CEO) |
| Authorized Official Contact | 7602444844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sung M. Ahn, D.d.s., Inc. 16922 Main St Ste F Hesperia CA 92345-6011 Ph: (760) 244-4844 | Sung M. Ahn, D.d.s., Inc. 16922 Main St Ste F Hesperia CA 92345-6011 Ph: (760) 244-4844 |
| NPI Number | 1801093034 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 07/06/2021 |
| Medicare PECOS PAC ID | 0143629824 |
|---|---|
| Medicare Enrollment ID | O20210531000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801093034 | NPI | - | NPPES |
| G93705-01 | Medicaid | CA | |
| 52706CA | Other | CA | DELTA DENTAL OF CALIFORNI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52706 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Sung Min Ahn |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326067489 PECOS PAC ID: 1052710738 Enrollment ID: I20210531000022 |
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