Individual
DR. HAYDEN SHIN HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-8965
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-8965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2951000846
MI
125Q00000X
Oral Medicine Dentistry
Primary
DS045618
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2021
Last updated
06/15/2026
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