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Dr. Carlton Bruce Hagstrom, DDS
General Practice Dentistry in Fox Lake, Illinois
NPI 1144243585

Carlton Bruce Hagstrom is a General Practice Dentistry based in Fox Lake, IL and is specialized in General Practice. Carlton Bruce Hagstrom practices in Fox Lake, IL and has the professional credentials of DDS. The NPI Number for Carlton Bruce Hagstrom is 1144243585 and holds a License No. 19A15870 (Illinois).

The current practice location address for Carlton Bruce Hagstrom is 208 S Us Highway 12, Fox Lake, IL and can be reached out via phone at 847-587-5400 and via fax at 847-587-5400.

Location: 208 S Us Highway 12, Fox Lake, IL, 60020-1928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144243585
Provider Name
Carlton Bruce Hagstrom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
208 S Us Highway 12, Fox Lake, IL, 60020-1928
Phone Number
847-587-5400
Fax Number
847-587-5400
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
208 S Us Highway 12
City
Fox Lake
State
Illinois
Zip
60020-1928
Phone Number
847-587-5400
Fax Number
847-587-5400
person
Provider Business Mailing Address Details
Address
208 S Us Highway 12
City
Fox Lake
State
Illinois
Zip
60020-1928
Phone Number
847-587-5400
Fax Number
847-587-5400
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19A15870 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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