Kenneth J. Hagen Jr. is a Omaha, Nebraska based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kenneth J. Hagen Jr. is 4646 for General Practice Dentistry in Nebraska. His current practice location is 2811 N 90th St, Omaha. Patients can reach him at 402-391-0459.
Kenneth J. Hagen Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kenneth J. Hagen Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kenneth J. Hagen Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
2811 N 90th St, Omaha, Nebraska, 68134-5707
Phone:
402-391-0459
Fax:
402-384-8888
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780668996
NPI Enumeration Date:
01 Dec, 2005
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth J. Hagen Jr. are as mentioned below.
License Number
Specialization
State
Status
4646
General Practice Dentistry
Nebraska
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth J. Hagen Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
47063287713
Medicaid
Nebraska
132485
Other
Nebraska
UNITED CONCORDIA ID#
5807
Other
Nebraska
BCBS PROVIDER ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2811 N 90th St, Omaha, Nebraska
Zip:
68134-5707
Phone Number:
402-391-0459
Fax Number:
402-384-8888
Patients can reach Kenneth J. Hagen Jr. at 2811 N 90th St, Omaha, Nebraska or can call to book an appointment on 402-391-0459. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.