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Dr. Kyle Blake Hagen, DMD
General Practice Dentistry in East Alton, Illinois
NPI 1528139227

Kyle Blake Hagen is a General Practice Dentistry based in East Alton, IL and is specialized in General Practice. Kyle Blake Hagen practices in East Alton, IL and has the professional credentials of DMD. The NPI Number for Kyle Blake Hagen is 1528139227 and holds a License No. (Illinois).

The current practice location address for Kyle Blake Hagen is 96 S 9Th St, East Alton, IL and can be reached out via phone at 618-259-1400.

Location: 96 S 9Th St, East Alton, IL, 62024-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528139227
Provider Name
Kyle Blake Hagen
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
96 S 9Th St, East Alton, IL, 62024-1715
Phone Number
618-259-1400
Fax Number
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
96 S 9Th St
City
East Alton
State
Illinois
Zip
62024-1715
Phone Number
618-259-1400
Fax Number
person
Provider Business Mailing Address Details
Address
96 S 9Th St
City
East Alton
State
Illinois
Zip
62024-1715
Phone Number
618-259-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(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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