Individual
MICHAEL HAGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6145 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5558
(270) 412-2787
Mailing address
1018 CHERRY ACRES DR, CLARKSVILLE, TN 37042-8937
(619) 457-1603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14223278-9926
UT
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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