Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679146823 Individual Practitioner Male Practitioner

Bryan Boungjun Ahn

Dentist • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Bryan Ahn is a registered healthcare professional specializing in Dentist in Lancaster, CA. Practice services are available at 1025 W AVENUE K STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1025 W Avenue K Ste 105

Lancaster, CA 935346429

Telephone 6617231111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Lancaster, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 111424

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CT 13221

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Martha Gamiz , RDAEF

Dental Assistant

NPI 1023255098
Sandra Saravia

Dental Assistant

NPI 1043556665
Juanita Valencia

Dental Assistant

NPI 1073825915
Dr. Danise Joshua Candeloza , DDS

Dentist - General Practice

NPI 1124982954

Doctor of Dental Surgery

Trisha Douglass , RDA

Dentist - General Practice

NPI 1164943809
NPI 1174349864

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 09, 2025

Registered at 1025 W AVENUE K STE 105, LANCASTER, CA 935346429 (Tel: 6617231111)

NPI Profile Active July 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2021

Registered at 446 S MAIN ST, NEW BRITAIN, CT 060513516 (Tel: 8602250552)

📍
Updated Business Mailing Address July 23, 2021

Registered at 15 SAGAMORE LN UNIT 309, ROCKY HILL, CT 060673850 (Tel: 8577698969)

👤
Provider Name / Credentials Updated July 23, 2021

Recorded as BRYAN AHN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2021

Dentist (License #13221 in CT)

🟢
Initial NPI Registration & Enumeration July 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679146823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2021
Last Update: July 09, 2025
Sole Proprietor: Yes

Mailing Address

15 Sagamore Ln Unit 309

Rocky Hill, CT 060673850

Phone: 8577698969

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.