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Michael Theodore Hagley, DDS
General Practice Dentistry in Grand Rapids, Minnesota
NPI 1972616605

Michael Theodore Hagley is a General Practice Dentistry based in Grand Rapids, MN and is specialized in General Practice. Michael Theodore Hagley practices in Grand Rapids, MN and has the professional credentials of DDS. The NPI Number for Michael Theodore Hagley is 1972616605 and holds a License No. 8842 (Minnesota).

The current practice location address for Michael Theodore Hagley is 220 Se 21St St, Grand Rapids, MN and can be reached out via phone at 218-326-3438 and via fax at 218-327-1475.

Location: 220 Se 21St St, Grand Rapids, MN, 55744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972616605
Provider Name
Michael Theodore Hagley
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
220 Se 21St St, Grand Rapids, MN, 55744
Phone Number
218-326-3438
Fax Number
218-327-1475
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
220 Se 21St St
City
Grand Rapids
State
Minnesota
Zip
55744-4268
Phone Number
218-326-3438
Fax Number
218-327-1475
person
Provider Business Mailing Address Details
Address
220 Se 21St St
City
Grand Rapids
State
Minnesota
Zip
55744-4268
Phone Number
218-326-3438
Fax Number
218-327-1475
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8842 (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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