Provider Demographics
NPI:1366232365
Name:EMILY HAHN DDS LLC
Entity type:Organization
Organization Name:EMILY HAHN DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-626-4579
Mailing Address - Street 1:13001 NORTH OUTER FORTY ROAD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:TOWN AND COUNTRY
Mailing Address - State:MO
Mailing Address - Zip Code:63017-1704
Mailing Address - Country:US
Mailing Address - Phone:314-626-4579
Mailing Address - Fax:314-485-4820
Practice Address - Street 1:13001 NORTH OUTER FORTY ROAD
Practice Address - Street 2:SUITE 360
Practice Address - City:TOWN AND COUNTRY
Practice Address - State:MO
Practice Address - Zip Code:63017-1704
Practice Address - Country:US
Practice Address - Phone:314-626-4579
Practice Address - Fax:314-485-4820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO400015901Medicaid