DAVID J. HAGSTROM LLC NPI 1225196363

NPI Information

DAVID J. HAGSTROM LLC is a general practice dentist in Rochester, MN. 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. DAVID J. HAGSTROM LLC NPI is 1225196363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2112 VIKING DR NW
ROCHESTER, MN
ZIP 55901-522
Phone: (507) 288-1744
Fax: (507) 292-5776

The provider's authorized official is David Jerome Hagstrom .
The authorized official title is Owner and has the following contact phone number (507) 288-1744.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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