Individual
DR. CHRISTOPHER JOHN HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3600 NE RALPH POWELL RD, SUITE D, LEES SUMMIT, MO 64064-2369
(816) 554-8300
(816) 554-8303
Mailing address
3600 NE RALPH POWELL RD, SUITE D, LEES SUMMIT, MO 64064-2369
(816) 554-8300
(816) 554-8303
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
S-350
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002514127
UNITED CONCORDIA
MO
01
—
14777625
CAREINGTON
MO
01
—
1700482249
GEHA
MO
01
—
2002013152
CIGNA
MO
01
—
273850017
DELTA OF MISSOURI
MO
01
—
40397051
BLUE CROSS BLUE SHEILD OF KANSAS CITY
MO
Enumeration date
05/06/2008
Last updated
03/10/2011
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