Ryan Chase Hackenberger, D.M.D.

General Practice Dentistry · Grosse Pointe Woods, MI

Individual Active NPI

NPI number 1326884602

Practice location

19511 Mack Ave
Grosse Pointe Woods, MI 48236-2836
Phone
(313) 882-7152

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NPI record

NPI
1326884602
Entity type
Individual (Type 1)
Enumeration date
July 5, 2024
Last updated
July 17, 2024
Certified
July 17, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901602287 MI
Student in an Organized Health Care Education/Training Program 390200000X — MI

Mailing address

1052 Yorkshire Rd
Grosse Pointe Park, MI 48230-1450
Phone
(313) 670-2486

About Dr. Hackenberger

Ryan Chase Hackenberger, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 19511 Mack Ave, Grosse Pointe Woods, MI 48236-2836. The NPI number 1326884602 was assigned on July 5, 2024 and the record was last updated on July 17, 2024.

Dr. Hackenberger lists a license in the registry: #2901602287 (MI) 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 Ryan Chase Hackenberger, D.M.D.?

The NPI number is 1326884602.

What is the phone number of Dr. Hackenberger?

The phone number listed for the practice location is (313) 882-7152.

Where is Dr. Hackenberger located?

19511 Mack Ave, Grosse Pointe Woods, MI 48236-2836.

What is the taxonomy code for Dr. Hackenberger?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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