Hagen Dental, Pc | |
102 Langer Ave N Casselton ND 58012-3324 | |
(701) 347-5345 | |
(701) 347-5346 |
Full Name | Hagen Dental, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 102 Langer Ave N, Casselton, North Dakota |
Authorized Official Name and Position | Jesse P Hagen (OWNER) |
Authorized Official Contact | 7013475345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hagen Dental, Pc Po Box 520 Casselton ND 58012-0520 Ph: (701) 347-5345 | Hagen Dental, Pc 102 Langer Ave N Casselton ND 58012-3324 Ph: (701) 347-5345 |
NPI Number | 1366634016 |
---|---|
Provider Enumeration Date | 08/16/2007 |
Last Update Date | 06/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366634016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2014 (North Dakota) | Primary |