NPI: 1417193467
Provider Name: HAGERTY FAMILY DENTAL, P.A.
Doing Business As: HAGERYT FAMILY DENTAL, P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
2203 E PARKWAY DR
RUSSELLVILLE, AR
ZIP 72802
Phone: (479) 967-8881
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HAGERTY FAMILY DENTAL, P.A. is a general practice dentist in Russellville, AR. 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. HAGERTY FAMILY DENTAL, P.A. NPI is 1417193467. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hageryt Family Dental, P.a..
The provider's business location address is:
2203 E PARKWAY DR
RUSSELLVILLE, AR
ZIP 72802-105
Phone: (479) 967-8881
Fax: (479) 967-4751
The provider's authorized official is Curtis Lee Hagerty .
The authorized official title is Dentist and has the following contact phone number (479) 967-8881.
The enumeration date for this NPI number is 12/22/2008 and was last updated on 12/22/2008.