# HAGEN DENTAL, PC

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

## Provider details

- **NPI number:** 1366634016
- **Authorized official:** DR. JESSE P HAGEN DDS (OWNER)
- **Authorized official phone:** (701) 347-5345

## Contact information

- **Practice address:** 102 LANGER AVE N, CASSELTON, ND 58012-3324
- **Practice address phone:** (701) 347-5345
- **Practice address fax:** (701) 347-5346
- **Mailing address:** PO BOX 520, CASSELTON, ND 58012-0520
- **Mailing address phone:** (701) 347-5345
- **Mailing address fax:** (701) 347-5346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2014 | ND | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 06/30/2014