Justina Jean Ahn, DMD
Dentist in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1003645904
StatusActive
Last updated in NPPESSep 6, 2025
Details
- NPI
- 1003645904
- Entity type
- Individual (NPI-1)
- Name
- Justina Jean Ahn
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2024
- Certification date
- Sep 6, 2025
- Last updated
- Sep 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 14035483-9926 | UT | Yes |
| 122300000X | Dentist | 14035483-8903 | UT |
Practice location
2817 Rock Merritt AveFort Bragg, NC 28310-4613
Phone 910-907-8922 · Fax 910-907-6069
Mailing address
2817 Rock Merritt AveFort Bragg, NC 28310-0001
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