Jerry C. Han

General Practice Dentistry · Kennewick, WA

Individual Active NPI

NPI number 1891867875

Practice location

5000 W Clearwater Ave
Kennewick, WA 99336-1964
Phone
(509) 783-5000
Fax
(509) 783-8349

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NPI record

NPI
1891867875
Entity type
Individual (Type 1)
Enumeration date
November 14, 2006
Last updated
August 7, 2026
Certified
August 7, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00008483 WA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 00008483 WA
Oral Medicine Dentistry 125Q00000X 00008483 WA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 00008483 WA

Mailing address

5000 W Clearwater Ave
Kennewick, WA 99336-1910
Phone
(509) 783-5000
Fax
(509) 783-8349

About Jerry Han

Jerry C. Han is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5000 W Clearwater Ave, Kennewick, WA 99336-1964. The NPI number 1891867875 was assigned on November 14, 2006 and the record was last updated on August 7, 2026.

Jerry Han lists 4 licenses in the registry: #DE00008483 (WA) for General Practice Dentistry; #00008483 (WA) for Oral and Maxillofacial Surgery (Dentist); #00008483 (WA) for Oral Medicine Dentistry; #00008483 (WA) for Orthodontics and Dentofacial Orthopedics Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry C. Han?

The NPI number is 1891867875.

What is the phone number of Jerry Han?

The phone number listed for the practice location is (509) 783-5000.

Where is Jerry Han located?

5000 W Clearwater Ave, Kennewick, WA 99336-1964.

What is the taxonomy code for Jerry Han?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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