Michael Theodore Hagley is a Grand Rapids, Minnesota 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 Michael Theodore Hagley is
8842 for General Practice Dentistry in Minnesota. His current practice location is
220 Se 21st St, Grand Rapids. Patients can reach him at
218-326-3438.
Michael Theodore Hagley 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:
Michael Theodore Hagley 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: | Michael Theodore Hagley |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 220 Se 21st St, Grand Rapids,
Minnesota, 55744-4268 |
| Phone: | 218-326-3438 |
| Fax: | 218-327-1475 |
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: | 1972616605 |
| NPI Enumeration Date: | 16 Aug, 2006 |
| 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 Michael Theodore Hagley are as mentioned below.
| License Number | Specialization | State | Status | |
| 8842 | General Practice Dentistry | Minnesota | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 220 Se 21st St,
Grand Rapids, Minnesota |
| Zip: | 55744 |
| Phone Number: | 218-326-3438 |
| Fax Number: | 218-327-1475 |
Patients can reach Michael Theodore Hagley at
220 Se 21st St, Grand Rapids, Minnesota or can
call to book an appointment on 218-326-3438.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.