Provider Demographics
NPI:1386760163
Name:HAHN, YOUNG JIN (DMD)
Entity type:Individual
Prefix:DR
First Name:YOUNG
Middle Name:JIN
Last Name:HAHN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W RIDGEWOOD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3124
Mailing Address - Country:US
Mailing Address - Phone:201-652-3311
Mailing Address - Fax:201-652-1893
Practice Address - Street 1:60 W RIDGEWOOD AVE STE 2
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3124
Practice Address - Country:US
Practice Address - Phone:201-652-3311
Practice Address - Fax:201-652-1893
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 0175071223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics