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Contact Information

HAGAN DENTISTRY, P.L.L.C
3058 FORT HENRY DRIVE
SUITE A
KINGSPORT, TN37664
 Phone: 423-239-8021
 Fax: 423-239-6273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HAGAN DENTISTRY, P.L.L.C

NPI # 1164709531
LBN Legal business name HAGAN DENTISTRY, P.L.L.C
Authorized official ANDREW HAGAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2011
Last updated 12/14/2023 - About 2 years ago
Identifiers
TN License # DS8925
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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