Provider Demographics
NPI:1871337675
Name:HOPE DENTAL
Entity type:Organization
Organization Name:HOPE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANSO
Authorized Official - Middle Name:
Authorized Official - Last Name:HAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-446-0443
Mailing Address - Street 1:237 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1138
Mailing Address - Country:US
Mailing Address - Phone:917-446-0443
Mailing Address - Fax:
Practice Address - Street 1:244 PAULISON AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3806
Practice Address - Country:US
Practice Address - Phone:973-500-4144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty