# DAGEN DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073433017
- **Authorized official:** DR. RYAN KEITH DAGEN DDS (DENTIST/OWNER)
- **Authorized official phone:** (901) 550-8728

## Contact information

- **Practice address:** 9789 MARKET GREEN PL S STE 101, LAKELAND, TN 38002-1280
- **Practice address phone:** (901) 610-1577
- **Mailing address:** 9789 MARKET GREEN PL S STE 101, LAKELAND, TN 38002-1280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2026
- **Last updated:** 07/20/2026