DR. Carlton Bruce Hagstrom, D.D.S. is a general practice dentist in Fox Lake, IL. 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. DR. Carlton Bruce Hagstrom, D.D.S. NPI is 1144243585. 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:
208 S US HIGHWAY 12
FOX LAKE, IL
ZIP 60020-928
Phone: (847) 587-5400
Fax: (847) 587-5400
The NPI 1144243585 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.