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HAGAN DENTISTRY P.L.L.C NPI 1164709531


NPI Information

NPI: 1164709531
Provider Name: HAGAN DENTISTRY, P.L.L.C
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3058 FORT HENRY DRIVE
SUITE A
KINGSPORT, TN
ZIP 37664
Phone: (423) 239-8021
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HAGAN DENTISTRY, P.L.L.C is a general practice dentist in Kingsport, TN. The provider is 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. HAGAN DENTISTRY, P.L.L.C NPI is 1164709531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3058 FORT HENRY DRIVE
SUITE A
KINGSPORT, TN
ZIP 37664
Phone: (423) 239-8021
Fax: (423) 239-6273

The provider's authorized official is Andrew Hagan .
The authorized official title is President and has the following contact phone number (423) 239-8021.

The enumeration date for this NPI number is 11/13/2011 and was last updated on 12/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDS8925TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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