HAGE FOUNDATION INC NPI 1225625791

NPI Information

HAGE FOUNDATION INC is a pediatric dentistry dentist in Jonesboro, AR. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HAGE FOUNDATION INC NPI is 1225625791. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

217 E CHERRY AVE
JONESBORO, AR
ZIP 72401-372
Phone: (870) 897-9465

The provider's authorized official is Clemmisa Harris .
The authorized official title is Owner and has the following contact phone number (870) 897-9465.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 6/15/2021.

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:

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