Mark Robert Hageman, DDS

General Practice Dentistry · Medford, OR

Individual Active NPI

NPI number 1093999781

Practice location

925 Town Centre Dr
Suite B
Medford, OR 97504-6186
Phone
(541) 245-0247
Fax
(541) 245-0249

Open in Google Maps

NPI record

NPI
1093999781
Entity type
Individual (Type 1)
Enumeration date
December 18, 2007
Last updated
December 18, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D7937 OR

Mailing address

925 Town Centre Dr
Siute B
Medford, OR 97504-6186
Phone
(541) 245-0247
Fax
(541) 245-0249

About Dr. Hageman

Mark Robert Hageman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 925 Town Centre Dr, Suite B, Medford, OR 97504-6186. The NPI number 1093999781 was assigned on December 18, 2007 and the record was last updated on December 18, 2007.

Dr. Hageman lists a license in the registry: #D7937 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Robert Hageman, DDS?

The NPI number is 1093999781.

What is the phone number of Dr. Hageman?

The phone number listed for the practice location is (541) 245-0247.

Where is Dr. Hageman located?

925 Town Centre Dr, Suite B, Medford, OR 97504-6186.

What is the taxonomy code for Dr. Hageman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Medford

All General Practice Dentistry providers in Medford, OR →