Provider Demographics
NPI:1407205818
Name:HAN, AILEEN (DDS)
Entity type:Individual
Prefix:
First Name:AILEEN
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AILEEN
Other - Middle Name:
Other - Last Name:WOO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:511 KENDAL CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-7008
Mailing Address - Country:US
Mailing Address - Phone:515-326-1000
Mailing Address - Fax:
Practice Address - Street 1:201 BUSINESS PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-5584
Practice Address - Country:US
Practice Address - Phone:912-826-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857179122300000X
FLDN30067122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist