Organization
HAGAN DENTISTRY, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW HAGAN D,M,D, (PRESIDENT)
(423) 239-8021
Entity
Organization
Contact information
Practice address
3058 FORT HENRY DRIVE, SUITE A, KINGSPORT, TN 37664
(423) 239-8021
(423) 239-6273
Mailing address
3058 FORT HENRY DRIVE, SUITE A, KINGSPORT, TN 37664
(423) 239-8021
(423) 239-6273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS8925
TN
Other
Enumeration date
11/13/2011
Last updated
12/14/2023
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