person
Dr. John Mason Hackenberger, DDS
Oral and Maxillofacial Surgery (Dentist) in Warren, Michigan
NPI 1790730406

John Mason Hackenberger is a Oral and Maxillofacial Surgery (Dentist) based in Warren, MI and is specialized in Oral and Maxillofacial Surgery. John Mason Hackenberger practices in Warren, MI and has the professional credentials of DDS. The NPI Number for John Mason Hackenberger is 1790730406 and holds a License No. 2901016237 (Michigan).

The current practice location address for John Mason Hackenberger is 29427 Ryan Rd, Warren, MI and can be reached out via phone at 586-755-9340 and via fax at 586-755-1081. You can also correspond with John Mason Hackenberger through the mailing address at 29425 RYAN RD, WARREN, MI - 48092-2203 (mailing address contact number: 586-755-9340).

Location: 29427 Ryan Rd, Warren, MI, 48092-2203
person
Provider Profile Details
NPI Number
1790730406
Provider Name
John Mason Hackenberger
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
29427 Ryan Rd, Warren, MI, 48092-2203
Phone Number
586-755-9340
Fax Number
586-755-1081
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970E07680 01 MI BLUE CROSS PIN
institution
Provider Business Practice Location Address Details
Address
29427 Ryan Rd
City
State
Zip
48092-2203
Phone Number
586-755-9340
Fax Number
586-755-1081
person
Provider Business Mailing Address Details
Address
29427 Ryan Rd
City
State
Zip
48092-2203
Phone Number
586-755-9340
Fax Number
586-755-1081
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2901016237 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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