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Dr. David Jerome Hagstrom, DDS
General Practice Dentistry in Rochester, Minnesota
NPI 1639150006

David Jerome Hagstrom is a General Practice Dentistry based in Rochester, MN and is specialized in General Practice. David Jerome Hagstrom practices in Rochester, MN and has the professional credentials of DDS. The NPI Number for David Jerome Hagstrom is 1639150006 and holds a License No. D11449 (Minnesota).

The current practice location address for David Jerome Hagstrom 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
person
Provider Profile Details
NPI Number
1639150006
Provider Name
David Jerome Hagstrom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2112 Viking Dr Nw, Rochester, MN, 55901-3522
Phone Number
507-288-1744
Fax Number
507-292-5776
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39492MA 01 BCBS
5242464 01 MN ID
39492MA 01 MN MN BP
918158000 01 MN MEDICAL ASSISTANCE
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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