# NATIVE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Native Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821986225
- **Authorized official:** DR. DIANA HAGAN (OWNER/DENTIST)
- **Authorized official phone:** (201) 484-5483

## Contact information

- **Practice address:** 244 SAINT PAULS AVE STE 3, JERSEY CITY, NJ 07306-3989
- **Practice address phone:** (201) 484-5483
- **Practice address fax:** (201) 685-4955
- **Mailing address:** 244 SAINT PAULS AVE STE 3, JERSEY CITY, NJ 07306-3989
- **Mailing address phone:** (201) 484-5483
- **Mailing address fax:** (201) 685-4955

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2025
- **Last updated:** 07/09/2026