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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.