Provider Demographics
NPI:1487994075
Name:CHI, HANBIT
Entity type:Individual
Prefix:DR
First Name:HANBIT
Middle Name:
Last Name:CHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 E TUDOR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1128
Mailing Address - Country:US
Mailing Address - Phone:907-222-6000
Mailing Address - Fax:907-677-1247
Practice Address - Street 1:2421 E TUDOR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1128
Practice Address - Country:US
Practice Address - Phone:907-222-6000
Practice Address - Fax:907-677-1247
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1481122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist