Melanie Lynn Hageman, DDS

Pediatric Dentistry · Fargo, ND

Individual Active NPI

NPI number 1659622173

Practice location

3142 49TH St S
Fargo, ND 58104-4450
Phone
(701) 293-6999
Fax
(701) 293-6999

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NPI record

NPI
1659622173
Entity type
Individual (Type 1)
Enumeration date
September 24, 2012
Last updated
March 14, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 2243 ND

Mailing address

517 18TH Ave E
West Fargo, ND 58078-4224
Phone
(701) 238-8521

About Dr. Hageman

Melanie Lynn Hageman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 3142 49TH St S, Fargo, ND 58104-4450. The NPI number 1659622173 was assigned on September 24, 2012 and the record was last updated on March 14, 2017.

Dr. Hageman lists a license in the registry: #2243 (ND) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Melanie Lynn Hageman, DDS?

The NPI number is 1659622173.

What is the phone number of Dr. Hageman?

The phone number listed for the practice location is (701) 293-6999.

Where is Dr. Hageman located?

3142 49TH St S, Fargo, ND 58104-4450.

What is the taxonomy code for Dr. Hageman?

The primary taxonomy code is 1223P0221X – Pediatric 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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