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David J. Hagstrom Llc
General Practice Dentistry in Rochester, Minnesota
NPI 1225196363

David J. Hagstrom Llc is a General Practice Dentistry based in Rochester, MN and is specialized in General Practice. David J. Hagstrom Llc practices in Rochester, MN. The NPI Number for David J. Hagstrom Llc is 1225196363 and holds a License No. D11449 (Minnesota).

The current practice location address for David J. Hagstrom Llc is 2112 Viking Dr Nw, Rochester, MN and can be reached out via phone at 507-288-1744 and via fax at 507-292-5776.

Location: 2112 Viking Dr Nw, Rochester, MN, 55901-3522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225196363
Provider Name
David J. Hagstrom Llc
Credential
Provider Entity Type
Organization
Address
2112 Viking Dr Nw, Rochester, MN, 55901-3522
Phone Number
507-288-1744
Fax Number
507-292-5776
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39492MA 01 MN BLUE CROSS BLUE SHIELD
9175780 01 MN DORAL DENTAL IDENTIFIER
D11449 01 MN LICENSE NUMBER
1348318 01 MN TRI CARE ID NUMBER
institution
Provider Business Practice Location Address Details
Address
2112 Viking Dr Nw
City
Rochester
State
Minnesota
Zip
55901-3522
Phone Number
507-288-1744
Fax Number
507-292-5776
person
Provider Business Mailing Address Details
Address
2112 Viking Dr Nw
City
Rochester
State
Minnesota
Zip
55901-3522
Phone Number
507-288-1744
Fax Number
507-292-5776
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D11449 (Minnesota)
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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