Individual
DR. JOHN PHILLIP HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13425 HOOVER CREEK BLVD STE 204, CHARLOTTE, NC 28273-0170
(980) 999-5007
Mailing address
13425 HOOVER CREEK BLVD STE 204, CHARLOTTE, NC 28273-0170
(980) 999-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062515-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2021
Last updated
02/26/2026
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