John James Hagerty in Lansing - General Practice

John James Hagerty - NPI 1164648192

John James Hagerty is a General Practice in Lansing, Michigan. John James Hagerty practices all healthcare services and medical treatments related to General Practice. The NPI Number for John James Hagerty is 1164648192. The last update date is 2007-07-08.

John James Hagerty's current location address is 4912 W St Joe Hwy, Lansing, Michigan. You can contact this provider via phone number 5178869696 and fax number 5178869373. The mailing address for John James Hagerty is 4912 W St Joe Hwy, Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John James Hagerty
Address 4912 W St Joe Hwy, Lansing, Michigan
Phone Number 5178869696
Fax Number 5178869373
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1164648192
Provider Enumeration Date 2007-04-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4912 W St Joe Hwy
City Lansing
State Michigan (MI)
Post Code 489174090
Phone Number 5178869696
Fax Number 5178869373

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 9235
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9235 MI STATE LICENSE NUMBER

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FAQs about John James Hagerty

What is the unique identification code assigned to John James Hagerty by the Centers for Medicare & Medicaid Services?

The John James Hagerty has been issued the NPI (National Provider Identifier) 1164648192. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John James Hagerty?

The John James Hagerty is physically situated at 4912 W St Joe Hwy, in the city of Lansing, state of MI, with the postal code 489174090.

What is the John James Hagerty's specialty and taxonomy code?

The John James Hagerty's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1164648192 to John James Hagerty?

The John James Hagerty received its 1164648192 assignment from the Centers for Medicare & Medicaid Services on 2007-04-18.

When was the information pertaining to John James Hagerty most recently updated or revised?

The details related to John James Hagerty, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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