Provider Demographics
NPI:1982765996
Name:SAVAGE, GRACE HAHN (DDS)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:HAHN
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 LA GORCE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-6305
Mailing Address - Country:US
Mailing Address - Phone:704-301-7462
Mailing Address - Fax:
Practice Address - Street 1:2820 SELWYN AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-1785
Practice Address - Country:US
Practice Address - Phone:980-219-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7281122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist