# JACOB D. HAGER, D.D.S., M.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Periodontal Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730350935
- **Authorized official:** DR. JACOB DANIEL HAGER D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (405) 636-1411

## Contact information

- **Practice address:** 8203 S WALKER AVE, OKLAHOMA CITY, OK 73139-9451
- **Practice address phone:** (405) 636-1411
- **Practice address fax:** (405) 636-1197
- **Mailing address:** 8203 S WALKER AVE, OKLAHOMA CITY, OK 73139-9451
- **Mailing address phone:** (405) 636-1411
- **Mailing address fax:** (405) 636-1197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5718 | OK | Yes |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/14/2008