MARK ROBERT HAGEMAN DDS NPI 1093999781

NPI Information

  • NPI: 1093999781
  • Provider Name: MARK ROBERT HAGEMAN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 925 TOWN CENTRE DR
    SUITE B
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 245-0247

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NPI Details

Mark Robert Hageman, DDS is a general practice dentist in Medford, OR. 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. Mark Robert Hageman, DDS NPI is 1093999781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

925 TOWN CENTRE DR
SUITE B
MEDFORD, OR
ZIP 97504-186
Phone: (541) 245-0247
Fax: (541) 245-0249

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD7937OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11312849OTHEROREGONUNITED CONCORDIA

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: 3/30/2025

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