Individual provider · Type 1 NPI
Rudolf Gustav Hahn, DMD
Periodontics · Chewelah, WA
NPI number
1124122536
Active
Practice location
616 E. Main Street
Chewelah, WA 99109
Fax (509) 935-4103
Mailing address
PO Box 68
Cocolalla, ID 83813-0068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 7164 (WA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1124122536
Rudolf Gustav Hahn, DMD's National Provider Identifier is 1124122536, issued on Sep 8, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chewelah, WA. The record was last updated on Jul 8, 2007.