# BYRONN G HAHN DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southridge Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821115338
- **Authorized official:** BYRONN GENE HAHN DMD (OWNER)
- **Authorized official phone:** (702) 777-4700

## Contact information

- **Practice address:** 1000 WIGWAM PKWY STE 120, HENDERSON, NV 89074-8164
- **Practice address phone:** (702) 777-4700
- **Practice address fax:** (702) 777-0700
- **Mailing address:** 1000 WIGWAM PKWY STE 120, HENDERSON, NV 89074-8164
- **Mailing address phone:** (702) 777-4700
- **Mailing address fax:** (702) 777-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5105 | NV | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/07/2018