GARY LEE HAGEN (NPI# 1023116779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023116779 |
| Entity Type | Individual |
| Full Name | GARY LEE HAGEN |
| Credential | DDS |
| Practice Address |
150 3rd St Nw Wells MN 56097-0010 |
| Mailing Address |
Po Box 10 150 3rd St Nw Wells MN 56097-0010 |
| Practice Telephone | 5075535085 |
| Practice Fax Number | 5075535948 |
| Mailing Telephone | 5075535085 |
| Mailing Fax Number | 5075535948 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8651 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649242041 | Gary Alan Hagen | Optometrist | 4203 E 4th St, Long Beach, CA 90814-2922 | 2006-02-02 |
| 1699765545 | Gary Hagen | Nurse Anesthetist, Certified Registered | 8401 Golden Valley Rd, Golden Valley, MN 55427-4488 | 2005-10-24 |
| 1467675066 | Gary E. Hagen | Dentist | 90 Madison St, Ste 406, Denver, CO 80206-5418 | 2007-04-11 |
| Street Address |
150 3RD ST NW |
| City | WELLS |
| State | MN |
| Zip Code | 56097-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477037703 | Chase Jeffery Williams | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2018-09-22 |
| 1356726673 | Richard Warnick | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2015-07-28 |
| 1316216377 | Modern Dental Professionals Minnesota PC | Dentist | 150 3rd St Nw, Wells, MN 56097-1021 | 2011-12-21 |
| 1699855478 | Independent Therapy Services, Inc | Occupational Therapist | 150 3rd St Nw, Wells, MN 56097 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911250 | Janise Bogenschutz Brindley | Pharmacist | 36 So Broadway, Wells, MN 56097-0036 | 2007-03-21 |
| 1205920055 | Susan Stiles | Technician | 240 5th Ave Nw, Wells, MN 56097-1034 | 2006-10-03 |
| 1730599481 | Jennifer Crawford | Social Worker | 350 3rd St Nw, Wells, MN 56097-1049 | 2014-05-04 |
| 1821483066 | Jennifer Kimpton | Social Worker | 704 4th Ave Sw, Wells, MN 56097-1406 | 2015-04-04 |
| 1710989058 | Darin J Magnuson | Chiropractor | 23 3rd St Se, Wells, MN 56097-1617 | 2005-06-01 |
| 1528285475 | Magnuson Chiropractic Center Inc | Chiropractor | 23 3rd St Se, Wells, MN 56097-1617 | 2007-04-20 |
| 1457463457 | Wells Drug Co | Pharmacy | 36 S Broadway, Wells, MN 56097-1633 | 2006-08-31 |
| 1841296290 | Chad Alan Malwitz | Chiropractor | 46 S Broadway, Wells, MN 56097-1633 | 2005-06-21 |
| 1952754087 | Katherine Kaufman | Pharmacist | 36 S Broadway, Wells, MN 56097-1633 | 2016-07-13 |
| 1235510777 | Heather Joline Yennie | Pharmacist | 36 S Broadway, Wells, MN 56097-1633 | 2015-06-10 |
| Find all providers in zip 56097 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255317012 | Nii Norte Lokko | Dentist | 1332 Post Rd Ste 1a, Wells, ME 04090-4562 | 2005-12-22 |
| 1881694560 | Bryan Michael Rudusky | Dentist | 1662 Us Rr 1, Wells, ME 04090-0497 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1588261812 | New London Family Dental | Dentist | 15 Ash St Se, New London, MN 56273 | 2020-10-09 |
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1326650961 | Mcgann Family Dental | Dentist | 8981 33rd St N, Lake Elmo, MN 55042-9209 | 2020-08-17 |
| 1154931988 | Jordan Jeffrey Bolger | Dentist | 13899 Highway 15 S Frontage Rd, Savage, MN 55378-5537 | 2020-08-06 |
| 1285243733 | Grant R. Sorensen, Dds | Dentist | 1029 3rd Ave Ste 1, Worthington, MN 56187-2399 | 2020-07-29 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1205444106 | Sidra Zahooruddin | Dentist | 107 Dupont Ave, Nw, Renville, MN 56284 | 2020-07-16 |
| 1104434380 | Jongseuk Lim | Dentist | 1119 W Frontage Rd, Owatonna, MN 55060-5663 | 2020-07-14 |
| 1699393942 | Danika Elizabeth Jackson | Dentist | 237 Radio Dr Ste 110, Woodbury, MN 55125-4478 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.