Organization
WILLIAM J. HAGERTY DDS INC
Active
Other names
NorthPark Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NEVADA D ENDICOTT (BUSINESS MANAGER)
(937) 837-1888
Entity
Organization
Contact information
Practice address
5615 SHULL RD, HUBER HEIGHTS, OH 45424
(937) 237-9999
(937) 237-0792
Mailing address
5615 SHULL RD, HUBER HEIGHTS, OH 45424
(937) 237-9999
(937) 237-0792
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016938
OH
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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