SOUTHRIDGE DENTAL
NPI 1821115338
Dentist - General Practice in Henderson, NV

Active since March 22, 2007
66 N PELOS RD SUITE A, HENDERSON, NV 89074(702) 777-4700(702) 777-0700 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southridge Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHRIDGE DENTAL (NPI 1821115338) is a healthcare organization registered as a general practice in Henderson, Nevada and active in the NPI registry since March 2007. The organization maintains a secondary practice location in Henderson and lists Byronn Gene Hahn, Owner, as its authorized official.

NPPES Registry Identity

NPI1821115338
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBYRONN G HAHN DMD PC
Location Address66 N PELOS RD SUITE AHenderson, NV 89074
Mailing Address1000 Wigwam Pkwy Ste 120Henderson, NV 89074-8164 · (702) 777-4700 · Fax (702) 777-0700
Fax(702) 777-0700
Organization SubpartNo
Authorized OfficialByronn Gene HahnOwner · (702) 777-4700
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 7, 2018
NPI 1821115338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NV · 5105
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
66 N PELOS RD SUITE A, Henderson, NV 89074

Other Names 1

Doing Business AsSouthridge Dental

Secondary Practice Location 1

Location 166 N Pelos Rd Suite AHenderson, NV 89074 · Phone (702) 777-4700 · Fax (702) 777-0700

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byronn G Hahn Dmd PC's NPI number?

The NPI number for Byronn G Hahn Dmd PC is 1821115338. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Southridge Dental.

Where is Byronn G Hahn Dmd PC located?

Byronn G Hahn Dmd PC is located at 66 N Pelos Rd Suite A, Henderson, NV 89074. The listed phone number is (702) 777-4700.

What is Byronn G Hahn Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Byronn G Hahn Dmd PC accept?

Health plans from UnitedHealthcare list Byronn G Hahn Dmd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Byronn G Hahn Dmd PC was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.