Gordon Elwood Haag Jr., D.D.S.

General Practice Dentistry · Fullerton, CA

Individual Active NPI

NPI number 1215059837

Practice location

301 W Bastanchury Rd
Ste.#260
Fullerton, CA 92835-3419
Phone
(714) 879-4910
Fax
(714) 879-5563

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NPI record

NPI
1215059837
Entity type
Individual (Type 1)
Enumeration date
April 4, 2007
Last updated
January 10, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 27292 CA

About Dr. Haag

Gordon Elwood Haag Jr., D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 301 W Bastanchury Rd, Ste.#260, Fullerton, CA 92835-3419. The NPI number 1215059837 was assigned on April 4, 2007 and the record was last updated on January 10, 2012.

Dr. Haag lists a license in the registry: #27292 (CA) 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 Gordon Elwood Haag Jr., D.D.S.?

The NPI number is 1215059837.

What is the phone number of Dr. Haag?

The phone number listed for the practice location is (714) 879-4910.

Where is Dr. Haag located?

301 W Bastanchury Rd, Ste.#260, Fullerton, CA 92835-3419.

What is the taxonomy code for Dr. Haag?

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.

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