# DR. TERRY L HAGEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194043737
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30.02281 | OH | — |
| 122300000X | Dentist | D011770 | AZ | — |
| 1223G0001X | General Practice Dentistry | DN24659 | FL | Yes |

## Other

- **Enumeration date:** 05/06/2010
- **Last updated:** 11/17/2025