Individual
DR. ANDREW RAY HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3058 FORT HENRY DRIVE, SUITE A, KINGSPORT, TN 37664
(423) 239-8021
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
8925
TN
1223G0001X
General Practice Dentistry
DN-0017672
FL
Other
Enumeration date
04/19/2007
Last updated
12/14/2023
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